2024-25 JA Program Interest Form
Complete this form to express interest in Junior Achievement's K-12 programming for the 2024-25 school year.
Name
First Name
Last Name
Email Address
*
This email will be used to contact you in the future about JA Programs.
Phone Number
Please enter a valid phone number. This number will be used to contact you in the future about JA Programs.
I am a:
*
Classroom Teacher
School based Administrator (Principal, Assistant Principal, Professional School Counselor)
School District/Central Office based Administrator
Home Educator
Community Partner Organization
Other
Please select the home STATE of your school/institution/organization.
*
Please Select
Arkansas
Mississippi
Tennessee
Please select the name of the TENNESSEE SCHOOL DISTRICT/CHARTER SCHOOL NETWORK.
*
Please Select
Arlington Community Schools
Bartlett City Schools
Collierville Schools
Compass Community Schools
Fayette County Schools
Frayser Community Schools
Freedom Prep Charter Schools
Germantown Municipal School District
Gestalt Community Schools
Green Dot Public Schools
Hardeman County Schools
Haywood County Schools
Jackson-Madison County Schools
Journey Community Schools
KIPP Memphis
Lakeland School System
Memphis Business Academy
Memphis Rise Academy
Memphis School of Excellence
Memphis-Shelby County Schools
Millington Municipal Schools
Private School
Promise Academy
Tipton County Schools
Other
Please select the name of the MISSISSIPPI SCHOOL DISTRICT/CHARTER SCHOOL NETWORK.
*
Please Select
Benton County School District
Alcorn County School District
Columbus School District
Corinth School District
Desoto County School District
Marshall County School District
Pontotoc County School District
Pontotoc City School District
Union County School District
Lee County School District
Lowndes County School District
Please select the name of the ARKANSAS SCHOOL DISTRICT/CHARTER SCHOOL NETWORK.
*
Please Select
Blytheville School District
Lee County Schools
Marion School District
Osceola School District
West Memphis School District
Other
Please enter the name of the SCHOOL/INSTITUTION/ORGANIZATION you're affiliated with:
*
Please enter the FIRST & LAST NAME of your school's administrator. (Principal, Assistant Principal, or Professional School Counselor)
*
First Name
Last Name
Please enter the EMAIL ADDRESS of your school's administrator (Principal, Assistant Principal, or Professional School Counselor)
*
example@example.com
For which grade level(s) are you requesting program(s)? Please check all that apply:
*
Elementary: Kindergarten - 5th Grade
Middle: 6th Grade - 8th Grade
High: 9th Grade -12th Grade
Please enter when you would like to start the program(s):
*
FALL 2024
SPRING 2025
2025-26 SCHOOL YEAR
Please use this space to include additional information, specific program or course name, or comments as needed:
*
A JA representative will contact you shortly to follow up regarding your request!
Save
Submit
Should be Empty: