WINTER 2015 Lynn University Education Students - Field Placement Hours

To complete your Field Placement Hours, please choose from the dates and times below.
If you have 8 hours to complete, please choose 2 dates (mark 2 boxes).

Each day consists of 5 hours which will include a training at the beginning of the day.

Students will be chosen on a first come first served basis and we recommend that you choose your dates as soon as possible.

Please email Alexa Diaz at alexa@jasouthflorida.org if you have additional questions. You will receive an email from a JA staff member to confirm your dates after you submit this form. PLEASE WAIT 1-2 BUSINESS DAYS FOR THIS CONFIRMATION VIA EMAIL.

Please bring your Rubric and Clearance Badge on the day of your visit. It is a requirement in order to volunteer.

CANCELLATION POLICY
If you are unable to attend on the date that you have registered for or need to make a change, we require you to do so with at least 48 hours in advance. If you are sick, we ask you to provide a doctor’s note. We understand that situations might arise but want to remind you that your presence is necessary for our program to be successful.

Name


A red asterisk (*) indicates required questions.


  1. Email Address:*


  1. Contact Number:*


  1. Class:*


  1. Please choose the date and program that you will attend from the week of January 5th through January 9th, 2015:
    Monday, January 5th, 2015 JA BizTown 8:00am-1:00pm
    Tuesday, January 6th, 2015 JA BizTown 8:00am-1:00pm
    Wednesday, January 7th, 2015 JA BizTown 8:00am-1:00pm
    Thursday, January 8th, 2015 JA BizTown 8:00am-1:00pm


  1. Please choose the date and program that you will attend from the week of January 12th through January 15th, 2015:
    Monday, January 12th, 2015 JA BizTown 8:00am-1:00pm
    Wednesday, January 14th, 2015 JA BizTown 8:00am-1:00pm


  1. Please choose the date and program that you will attend from the week of January 20th through January 22nd, 2015:
    Tuesday, January 20th, 2015 JA BizTown 8:00am-1:00pm
    Wednesday, January 21st, 2015 JA BizTown 8:00am-1:00pm
    Thursday, January 22nd, 2015 JA BizTown 8:00am-1:00pm


  1. Please choose the date and program that you will attend:
    Thursday, April 9th, 2015 JA BizTown 8:00am-1:00pm
    Friday, April 24th, 2015 JA BizTown 8:00am-1:00pm


  1. Please choose the date and program that you will attend:
    Monday, April 27th, 2015 JA BizTown 8:00am-1:00pm
    Tuesday, April 28th, 2015 JA BizTown 8:00am-1:00pm
    Wednesday, April 29th, 2015 JA BizTown 8:00am-1:00pm


  1. Please choose the date and program that you will attend:
    Thursday, April 30th, 2015 JA BizTown 8:00am-1:00pm
    DATE NOT LONGER AVAILABLE