Contact Information

First Name:
Email Address:
Last Name:
Maiden Name:
  Ethnic Origin:


Business Address:
Business City:
Business State:
Business Zip:
Business Phone:
Home Address:
Home City:
Home State:
Home Zip:
Home Phone:
Cell Phone:
Preferred Method of Contact:
Business Home Cell
Preferred Mailing Address:


Grade Level(s): Elementary Middle High
Semester(s): Fall Spring
Schools in the following areas have volunteer opportunities. Please mark the areas you are most interested in:
I would like to be paired with the following teacher:
I would like to teach at the following school(s):

Did you know that $25 will sponsor one child to receive a JA Program?

**Yes, I want to donate to support JA kids today $:

A JA representative will contact you regarding your donation.  Donations are tax-deductible.


Junior Achievement serves youth.  Our volunteers teach valuable lessons with each word and especially with their conduct.  Adult misconduct with youth carries serious consequences.  Because Junior Achievement cares that its volunteers have healthy relationships with the youth they serve, it has established these standards.

  1. Young people look to adults for examples of appropriate behavior.  JA volunteers must use appropriate language and model honorable behavior, such as respect, integrity, honesty, and excellence.  Profanity or sexualized language or jokes is inappropriate around students.  Violating state law regarding interactions with youth, e.g., providing them alcohol or illegal drugs is forbidden.
  1. Volunteers must take particular care when touching youth.  Most people understand the difference between appropriate touching, like a handshake or pat on the back, and touching which is sexual or disrespectful.  Volunteers must also consider how any physical contact may be perceived. 
  1. Interactions with students must both be appropriate and appear appropriate.  Volunteers will spend most time with groups of students, although occasionally one-to-one situations may occur.  Prior to any one-to-one interaction, a JA volunteer generally should ensure another adult is present or aware of the situation.  Favoritism, or the appearance of favoritism, should be avoided.
  1. Volunteers are responsible for the quality of interactions.  Students often find it difficult to state discomfort or objections.  Volunteers must be especially sensitive to physical and verbal cues that youth provide. 

These are examples only, not a comprehensive list.  Other actions not listed could result in suspension or dismissal as a volunteer.

Junior Achievement takes all complaints of misconduct seriously.  Credible allegations of misconduct will be promptly investigated by the appropriate authorities.  During any such investigation, the JA volunteer will be placed on leave.  If an investigation determines misconduct occurred, it will result in the immediate and permanent dismissal as a JA volunteer.

Any JA staff member or volunteer who reasonably suspects misconduct must report these suspicions immediately to the appropriate JA staff person at the local office.

I hereby certify that all information provided on this application is true and complete.  I have received a copy of Junior Achievement's Volunteer Conduct Standards and have read, understand, and will abide by these standards. Please return this form to the Junior Achievement office. By submitting this form, I hereby certify that I have never been charged with a crime of violence or a crime involving a child or young person, or, if I have, that I have fully disclosed in writing the facts regarding such a charge to the local Junior Achievement office.