Volunteer Registration

Volunteer Registration Page

Please read the Volunteer Conduct Standards and check the “I Agree” to the Volunteer Conduct Standards before submitting this form.

Each year Junior Achievement staff shall convey these standards in writing to all volunteers prior to their first visit to the classroom. Staff shall review these standards verbally, as well, with first-time volunteers.

* denotes a required field

Volunteer Conduct Standards: *

I agree to the Volunteer Conduct Standards (see above)

Volunteer Status: *
new returning
E-mail Address: *

Prefix:
Mr. Ms. Mrs.
First Name: *

Last Name: *

Preferred Nickname:

Office or School Name: *

Office Address: *

Office City: *

Office State: *
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -- AB BC MB NB NF NT NS NU ON PE QC SK YT
Office Zip Code: *

Office Phone: *

Office Fax:

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Home Address: *

Home City: *

Home State: *
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -- AB BC MB NB NF NT NS NU ON PE QC SK YT
Home Zip Code: *

Home Phone: *

Cell Phone:

Is this information correct?:

My information has not changed

I have updated my information

VOLUNTEER DEMOGRAPHIC INFORMATION

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Gender:

Male

Female

Ethnicity:
Black/Africa-American Hispanic Pacific Islander American Indian/Alaskan Native Asian Caucasian/White Multi Other
Number of years as a JA volunteer: *
0 1 2 3 4 5 6 7 8 9 10+
Please list the County and/or City/Town(s) you would prefer to volunteer: *

School/Teacher/Grade Preference: *

* In order to prevent abuse of the system, please enter the 6 digit code
you see below into the text entry field to the right before submitting this form.