Class Registration Form
Please complete this form after teaching your first class. If you do not know your Class ID number, fill in the school and teacher information instead. Fields marked with a * are required.
OPTIONAL INFORMATION:
Number of students who have had a JA program before:
Number of Students in each category (check with teacher if necessary):
African American
American Indian
Asian
Caucasian
Hispanic
Pacific Islander/Hawaiian
How were you recruited to volunteer for this class? If you are a returning volunteer, please indicate how you were originally recruited to volunteer.
Contact as a prospective volunteer.
Company
Phone
Comments:
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