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SIGN UP TO INSPIRE YOUNG PEOPLE

IN THE WATERLOO REGION ABOUT BUSINESS!

 Please complete the entire form. 


Upon receipt of your volunteer registration,
a Junior Achievement staff member will be in touch with you to futher discuss your support.

fields with are required
First Name
Last Name
Email
Organization
Address 1
Address 2
City
Province
Postal Code/Zip
Phone Number
Fax Number
Website
Home Phone:

Program Choices: 

Please indicate which programs you are interested in teaching.

Check under
Elementary (grades 3-6)
Middle (grades 7 & 8)
High School (grades 9-12)
Do you have a preferred school or teacher?
Provide names:
Do you like to partner with someone?
Provide name and phone number
Please list previous experience working with or volunteering with youth:
List your strengths as they pertain to working with youth:

 

Inspiring young people requires dedication, determination and commitment.

Why do you want to volunteer for Junior Achievement?

 

Volunteer History

Have you volunteered for Junior Achievement in the past?
Yes No
If yes, please indicate years of service.
Please indicate any JA programs you have delivered in the past.

 

References

Please provide 2 personal/professional references.

Reference 1:

Name 1:
Phone number 1:
What is his/her relationship to you? (i.e. supervisor, family friend etc.)

Reference 2:

Name 2:
Phone number 2:
Relationship:

 

In addition to program delivery, would you be interested in further volunteer involvement with JA in any of the following?

If applicable, indicate choices
Fundraising
Special Events
Committees
Personal Donation

 

Additional Comments:
I have never been convicted of an offence under the Criminal code for which a pardon has not been granted.  I have read and understand the Junior Achievement's Volunteer Code of Conduct and agree to abide by the rules laid out herein.
The above statement is:
True
False

For further information regarding registration, please contact

Christine Dwyer, Program Manager at 519-576-6610 or cdwyer@jawaterlooregion.org

Thank you for giving Back to the Future!
   

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