Spring 2018 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.

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 January 15, 2018 through January 19, 2018:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE 116
    DATE NO LONGER AVAILABLE 117
    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 January 22, 2018 through January 26, 2018:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE123
    DATE NO LONGER AVAILABLE14
    DATE NO LONGER AVAILABLE125
    DATE NO LONGER AVAILABLE


  1. Please choose the date(s) and program(s) that you will attend from the week of January 29, 2018 through Friday, February 2, 2018:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE131
    Thursday, February 1, 2018 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE 0202BT


  1. Please choose the date(s) and program(s) that you will attend from the week of February 5, 2018 through February 9, 2018:
    Monday, February 5, 2018 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE 26
    Wednesday, February 7, 2018 JA BizTown 8:00am-2:00pm
    Thursday, February 8, 2018 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE 29BT


  1. Please choose the date(s) and program(s) that you will attend from the week of February 12, 2018 through February 16, 2018:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    Wednesday, February 14, 2018 JA BizTown 8:00am-2:00pm
    Thursday, February 15, 2018 JA BizTown 8:00am-2:00pm
    Friday, February 16, 2018 JA BizTown 8:00am-2:00pm


  1. Please choose the date(s) and program(s) that you will attend from the week of February 19, 2018 through February 23, 2018:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE 220BT
    DATE NO LONGER AVAILABLE 221BT
    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 weeks of February 26, 2018 and March 5, 2017
    Monday, February 26, 2018 JA BizTown 8:00am-2:00pm
    *NEW DATE* Tuesday, February 27, 2018 JA BizTown 8:00am-1:00pm
    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 38BT
    *NEW DATE* Friday, March 9, 2018 JA BizTown 8:00am-1:00pm


  1. Please choose the date(s) and program(s) that you will attend from the week of March 12, 2018 through March 16, 2018:
    Monday, March 12, 2018 JA BizTown 8:00am-2:00pm
    Tuesday, March 13, 2018 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE0314
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE


  1. Please choose the date(s) and program(s) that you will attend from the weeks of March 19, 2018 and March 26, 2017:
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    *NEW DATE* Wednesday, March 21, 2018 JA BizTown 8:00am-1:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE - BCPSSB
    DATE NO LONGER AVAILABLE - BCPSSB
    DATE NO LONGER AVAILABLE - BCPSSB
    DATE NO LONGER AVAILABLE - BCPSSB
    DATE NO LONGER AVAILABLE - BCPSSB


  1. Please choose the date(s) and program(s) that you will attend from the weeks of April 2, 2018, April 9, 2018, April 16, 2018 and April 23, 2018:
    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
    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
    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 April 26, 2018 through Friday May 4, 2018:
    *NEW DATE* Thursday, April 26, 2018 JA BizTown 8:00am-2:00pm
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE
    DATE NO LONGER AVAILABLE 53
    Friday, May 4, 2018 JA BizTown 8:00am-1:00pm


  1. Please choose the date(s) and program(s) that you will attend from the week of May 7, 2018 through May 11, 2018:
    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