Volunteer Biography Form  

Name: Preferred County:

Preferred School/Program:

Months available to teach: October-December February-April

Home Address: City/Zip:

Home Phone: Pager: Cell:

Firm: Position:

Firm Address: E-mail:

City/Zip: Phone: Fax:

Supervisor's Name/Title:

Supervisor's Address:

JA Volunteer Experience: Since year: Grades taught:

Highest Education: High School Associate Degree Bachelor Degree Masters Degree Doctorate

JA Alumni? Yes No Other Community Involvement:

 

Are you interested in other JA volunteer opportunities?

Bowl-a-thon Golf Tournament JA Train-the trainer

 

I am interested in financially sponsoring Junior Achievement through Personal Corporate donation

 

CONSULTANT RESPONSIBILITY FORM 

1.     Contact assigned teacher. Agree on date/time of class. Inform teacher at least one day in advance if you need to reschedule.

2.     Become familiar with school procedures.  Enter through main office and sign appropriate volunteer binder. Arrive early for each class session.

3.     Agree not to have any inappropriate contact inside or outside classroom with any students met through JA class including those students 18 years of age and older.

Some examples of inappropriate contact include:

·         Violations of state laws regarding child abuse, providing alcohol, drugs or tobacco on a school campus, etc.

·         Dress that violates the school’s faculty dress code or is inconsistent with normal business attire.

·         Use of inappropriate language or gestures within an educational setting.

·         Physical contact that is inappropriate to a teacher-pupil professional relationship considering the age and gender of the student.

These are examples only and not intended to be a comprehensive list. There could be other actions, which could result in suspension as a volunteer. 

 

  Yes No , I understand my responsibilities as a Junior Achievement Volunteer and will abide by these standards.

 

Have you ever been convicted or had adjudication withheld in a criminal offense other than a minor traffic violation or are there any criminal charges now pending against you other than a minor traffic violation?  Yes      No

 

Demographic information collected by JA is used for statistical purposes only. It is not used for individuals, but used only in aggregate form. JA is a non-profit organization that applies for grants and funding from various entities. In these applications, we need to provide statistical information to demonstrate that JA reflects the diversity of the communities we serve.  We appreciate your assistance in ensuring JA’s continued service to our children.

 

Ethnic Background:   African American Alaskan Native American Indian Asian Caucasian Hawaiian Hispanic       Gender:                  Male Female    Birth date:

 

Income Level (optional): under $30,000 $31,000-$50,000 $50,000-$100,000 more than $100,000