FALL 2016 FAU Education Students - Service Learning Hours at J.A. South Florida

*PLEASE REVIEW THE FOLLOWING INFORMATION*

In order to meet the Service Learning Hours requirement, you must first complete this form and select the date you are available. By doing so, you are committing to being present on the day that we need volunteers the most.

You are required to arrive on time and remain in the program until the scheduled end time.

We require a notice to cancel or reschedule a visit date at least 24 business hours in advance, or a doctor's note for absences due to illness.

Any absence without notice will result in the cancellation of your visit date.

It is required that you present your clearance badge on the visit date and have it visible at all times. If you fail to do so, you will not be able to participate in the program and must reschedule your visit date.

Also, please be sure to bring your own rubric with you on your visit date. Your professor will deduct points for any rubrics that Junior Achievement provides to the students.

PLEASE ALLOW **2** BUSINESS DAYS TO RECEIVE A CONFIRMATION VIA EMAIL AFTER YOU SUBMITTED THIS FORM.

If you have additional questions, please email Jayme-Sky Pagan at jayme-sky@jasouthflorida.org. Thank you.



A red asterisk (*) indicates required questions.

  1. Last Name:*


  1. First Name:*


  1. Primary Email: *


  1. Primary Phone Number:*


  1. Professor's name and campus:*


  1. Day AND Time of ETP2 Class:*


  1. Please choose the date and program that you will attend from the weeks of September 26, 2016 and October 3, 2016:
    Wednesday, September 28, 2016 JA BizTown 8:00am-2:00pm
    Tuesday, October 4, 2016 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Thursday, October 6, 2016 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE
    Friday, October 7, 2016 JA BizTown 8:10am-2:10pm


  1. Please choose the date and program that you will attend from the week of October 10, 2016 through October 14, 2016:
    DATE NO LONGER AVAILABLE
    Tuesday, October 11, 2016 JA BizTown 9:30am-3:30pm
    DATE NO LONGER AVAILABLE
    Thursday, October 13, 2016 JA BizTown 8:00am-2:00pm
    Friday, October 14, 2016 JA BizTown 8:00am-2:00pm


  1. Please choose the date and program that you will attend from the week of October 17, 2016 through October 28, 2016:
    Thursday, October 20, 2016 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date and program that you will attend from the week of October 31, 2016 through November 4, 2016:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Tuesday, November 1, 2016 JA BizTown 8:00am-2:00pm
    Wednesday, November 2, 2016 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE


  1. Please choose the date and program that you will attend from the weeks of November 7, 2016 and November 14, 2016:
    Monday, November 7, 2016 JA BizTown 8:00am-2:00pm
    Wednesday, November 9, 2016 JA BizTown 8:00am-2:00pm
    Thursday, November 10, 2016 JA BizTown 8:00am-2:00pm
    Monday, November 14, 2016 JA BizTown 8:00am-2:00pm
    Tuesday, November 15, 2016 JA BizTown 8:00am-2:00pm
    Wednesday, November 16, 2016 JA BizTown 8:00am-2:00pm
    Friday, November 18, 2016 JA BizTown 8:00am-2:00pm


  1. Please choose the date and program that you will attend from the weeks of November 21, 2016 and November 28, 2016:
    Monday, November 21, 2016 JA BizTown 8:00am-2:00pm
    Tuesday, November 22, 2016 JA BizTown 9:00am-2:00pm
    Monday, November 28, 2016 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Thursday, December 1, 2016 JA BizTown 8:00am-1:00pm


  1. DISCLAIMER (1/2):

    I understand and agree that by selecting the date above, I have committed my presence and failure to appear without a 24 business hour notice will result in the loss of my scheduled date and hinder the opportunity to select alternate dates. *
    I agree.
    I disagree.


  1. DISCLAIMER (2/2):

    I understand and agree that in order to participate in dates I must present my clearance badge on the day of my visit and have it visible at all times. Failure to do so will result in the cancellation and rescheduling of my visit date.*
    I agree.
    I disagree.





Junior Achievement of South Florida