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  JA of Northern Alberta & NWT

Survey results prove that JA, at all levels, is preparing students to develop successful financial management habits, empowering them to explore the potential of becoming an entrepreneur, and providing them the skills necessary to succeed in a global economy.

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Class Registration form for Teachers


School Registration Form

* Each class require a separate form.

1.0 TEACHER INFORMATION

(to be filled out by the teacher requesting JA programs for thier own class)

Salutation
Teacher First Name
Teacher Last Name
Phone
Fax
Email Address
Alternative phone or email
Class/Grade

2.0 SCHOOL INFORMATION

School District
School Name
Address
City
Province
Postal Code
School Phone
School Fax

3.0 MAIN CONTACT

It is helpful for JA to communicate with a single point of contact within a school. This person would help promote and facilitate JA programming within your school. (If your school has selected a main contact for JA, please list that person below. If no main contact has been selected, please list yourself.)

Main JA Contact at your school
Phone
Email

4.0 PROGRAM INFORMATION

Program Requested
Location
Number of Students

If you are having a one-day program (Grade 8 or 9 only!) please choose your date.

Date  

5.0 PLEASE READ CAREFULLY
By signing this document, I release and hold harmless Junior Achievement of Northern Alberta & NWT from any liability.
TEACHER RESPONSIBILITIES
  1. Welcome a JA volunteer into my classroom to present a JA program for which I am registered.
  2. Due to liability, I AGREE TO NOT LEAVE A VOLUNTEER UNATTENDED AT ANY TIME DURING THE PROGRAM PRESENTATION.
  3. Assume full responsibility of classroom management.
  4. Send the evaluation form back within 10 business days following completion of the program, in order to be considered for a JA program the following year

COMMITMENT TO PROGRAM DELIVERY

I understand that the JA program I requested is available at NO COST to me, my students or my school. However, I realize it is a substantial cost to JA sponsors, therefore I understand that there will be a $500.00 administration fee in the event I cancel the program.

Name of Applicant
Date of Registration


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