FALL 2017 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 Stephanie Canino at stephanie@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(s) and program(s) that you will attend from the week of October 2, 2017 through October 6, 2017:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date(s) and program(s) that you will attend from the week of October 9, 2017 through October 13, 2017:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date(s) and program(s) that you will attend from the week of October 16, 2017 through October 20, 2017:
    DATE NO LONGER AVAILABLE106
    DATE NO LONGER AVAILABLE107
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date(s) and program(s) that you will attend from the week of October 23, 2017 through October 27, 2017:
    DATE NO LONGER AVAILABLE - 1023BT
    DATE NO LONGER AVAILABLE - 1024BT
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE - 1026BT
    DATE NO LONGER AVAILABLE - 1027BT


  1. Please choose the date(s) and program(s) that you will attend from the week of October 30, 2017 through November 3, 2017:
    DATE NO LONGER AVAILABLE - 1030BT
    DATE NO LONGER AVAILABLE - 1031BT
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE - 113BT


  1. Please choose the date(s) and program(s) that you will attend from the week of November 6, 2017 through November 10, 2017:
    DATE NO LONGER AVAILABLE 116 BT
    DATE NO LONGER AVAILABLE 117BT
    DATE NO LONGER AVAILABLE 118BT
    DATE NO LONGER AVAILABLE 119BT
    DATE NO LONGER AVAILABLE


  1. Please choose the date(s) and program(s) that you will attend from the weeks of November 13, 2017 and November 20, 2017:
    DATE NO LONGER AVAILABLE 1113 BT
    DATE NO LONGER AVAILABLE 1114 BT
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE 1116BT
    DATE NO LONGER AVAILABLE - 1117BT
    DATE NO LONGER AVAILABLE 1120 BT
    DATE NO LONGER AVAILABLE 1121 BT


  1. Please choose the date(s) and program(s) that you will attend from the week of November 27, 2017 through December 1, 2017:
    DATE NO LONGER AVAILABLE 1127 BT
    DATE NO LONGER AVAILABLE 1128 BT
    DATE NO LONGER AVAILABLE 1129 BT
    DATE NO LONGER AVAILABLE 1130BT
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  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