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 Junior Achievement of Newfoundland and Labrador

Registration Form 

Returning Volunteers
Avalon Peninsula to/and including Gander

 VOLUNTEER RECORD

Junior Achievement is looking for volunteers to deliver programs and to serve on committees for 2010-2011 school year.  If you have volunteered for Junior Achievement of Newfoundland & Labrador within the last 2 years, please complete the registration form below.  If it has been more than 2 years since you last volunteered, please complete the Registration Form for New Volunteers: http://www.jacan.org/userSurveys.cfm?mode=adminpreview&surveyid=797&requesttimeout=600

fields with are required
First Name
Last Name
Middle name
Email
Address 1
Address 2
City
Province
Postal Code/Zip
Phone Number
In case of an emergency, please provide a phone/cell number where you can be reached prior to your program delivery
Gender
Male
Female
Age
18 - 30
31 - 40
41 - 50
51 - 60
61+

  

 Employer/Organization Information

Please complete if information has changed.

Place of work
Your Title
Mailing Address:
City
Province
Postal Code
Phone Number
Fax Number

 If you would like a letter sent to your supervisor recognizing your participation with Junior Achievement, please provide the following information:

Supervisor's Name
Supervisor's title
Supervisor's E-mail
Mailing address
City
Province

 

Programs

Please indicate what activities you would like to volunteer with:
Business Basic-Our Business World (Grade 5/6)
Economics for Success (Grade 9)
JA Titan (Levels I-III)
Local Planning Committee
Board of Directors
Other
If other, please specify:
I would like to volunteer in the community of:

This registration is submitted with the understanding that Junior Achievement may at any time verify the information above.  I further understand that any material omission, withholding or misrepresentation with respect to the information will be cause for denial or termination of my participation in any Junior Achievement activities.

  
For additional information on programs please contact:
Junior Achievement of Newfoundland and Labrador
3rd Floor, Delgado Building, 171 Water Street
St. John's, NL  A1C 1B1
Phone:  709-753-9533
Fax:  709-753-2612
email:  info@janl.org
   

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