Name of School (required)

Address (required)

Region (required)

Please leave this field empty.

Name of Principal (required)

Telephone (required)

Email (required)

Grade Level (check all that apply)
Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Grade 13

Number of participating classes (required)

Total number of students (required)

Programs of Interest (check all that apply)
JA Ourselves – Kindergarten
JA Our Families – Grade One
JA Our Community – Grade Two
JA Our City – Grade Three
JA More Than Money – Grade Three to Five
JA BizTown – Grade Five *
JA Our Nation – Grade Five
JA Global Market Place – Grade Six to Eight
JA It’s My Business – Grade Six to Eight
JA Economics for Success – Grade Seven to Ten
JA Finance – Grade Seven to Thirteen
JACE SEED – Grade Nine
JA Be Entrepreneurial – Grade Nine to Thirteen
JA Career Success – Grade Nine to Thirteen
JA Personal Finance – Grade Nine to Thirteen

Date to commence Program

Please provide any other pertinent information

* JA BizTown – Grade Five: After submitting this form, arrangement will be made to train your teacher(s). Additionally, the resources and material for the program are provided at no cost to school. These can be picked up at your Regional Office, the JA BizTown facility or shipped directly to your school (COD).