Yes! I want Junior Achievement in my classroom. Please complete and submit this form to notify us of your interest in having JA in your classroom for the 2016-2017 school year. Name of Teacher First Last SchoolGradeNumber of ClassesType of ProgramApproximate Number of StudentsEmail PhonePlease check all that apply My classroom particpated in JA in the 2015/2016 school year & would like to participate again in the 2016/2017 school year My classroom DID NOT participate in JA programs in the 2015/2016 school year; please contact me for more information. I prefer the JA programs to begin in the Fall of 2016 I prefer the JA programs to begin in the Spring of 2017 I prefer the JA in a Day program (entire program condensed into one school day) Requested start date for your Junior Achievement program:Preferred day of the week for your program:Preferred time of the day for your program:Any additional comments?