Zoho Creator- Teacher Schedule: Elementary

Teacher Schedule: Elementary

JA Teacher Schedule: Elementary Schools

Part 1: JA Teacher Information

Prefix *

First Name: *

Last Name: *

Maiden Name (if name changed):

Current School: *

Previous School:

Grade/Program: *

Number of Students:

Gender: *

Ethnicity: *

Home Phone:

Work Phone:

Email:

Best time(s) to reach you:

Is this your first year of JA at this grade level? *

Other Information:(Split grades, Special needs students, etc.)

Part 2: JA Class Information

Suggested Class Length By Grade:
----------------------------------------------------
: Grade K: 30 min.       Grade 3 : 45 min. :
: Grade 1: 30 min.       Grade 4 : 45 min. :
: Grade 2: 30 min.       Grade 5 : 45 min. :
----------------------------------------------------

Program/Session Run Date: *

Student start and end times: *

Lunch Time (M-F) *

Recess Times (M-F) *

Please specify times that DO work Monday - Friday:

Please specify any times that DO NOT work Monday-Friday:

My volunteer may visit once a week for 5 weeks:

My volunteer may come twice weekly for 2 1/2 weeks:

My volunteer may come every day for one week:

My volunteer may teach multiple sessions in one day:

Other Information:

Part 3: JA Volunteer Request

1) Potential Volunteer Name:

1) Volunteer Type:

1) Phone:

1) Email:

2) Potential Volunteer Name:

2) Volunteer Type:

2) Phone:

2) Email:

3) Potential Volunteer Name:

3) Volunteer Type:

3) Phone:

3) Email:

May we use a high school student as your volunteer?

May we use a college student as a volunteer?

Would you like your Student Teacher to be a JA volunteer?

Student Teacher Name:

College:

Phone:

Email:

More Information:
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