Teacher Request Form

Home   Teacher Request Form
Teacher Name:*
School:*

Preferred Contact Information

To help facilitate communication, please provide us with your preferred contact information below.

Phone 1:
Phone 1 Type:
Phone 2:
Phone 2 Type:
E-mail Address:
Best Time/Method:

Please indicate the following for statistical purposes only

For ethnicity, enter all that apply from this list: African American, American Indian, Asian, Caucasian, Hispanic/Latino, Hawaiian.

Gender:
Ethnicity:

Class Information

Grade:*
Number of Students:*
Special Needs:

Preferred time of year, please number in order of preference (1, 2, 3):

Fall (Oct/Nov/Dec):
Winter (Jan/Feb/Mar):
Spring (Mar/Apr/May):

Class Day & Time - please list several options:

Monday:
Tuesday:
Wednesday:
Thursday:
Friday:

Preferred Volunteer Information

We request this form early in the year so we understand that you may not have identified a volunteer yet. Even if you do not have someone in mind, please complete this form ASAP. You can always email us later with preferred volunteer contact information.

Do you have a preferred volunteer(s)?

If yes, list them below:

Name(s):
E-mail(s):
Phone #(s):

If you selected no, we will do our best to help recruit one for your class.

Teacher Roles & Responsibilities

Please read the following Teacher's Roles & Responsibilities. By typing your name into the Signature field and submitting this form, you acknowledge your understanding of and agreement to these rules.

Signature:*
Date:*

Junior Achievement, TEACHER’S ROLES AND RESPONSIBILITIES

Partner

√ Work with your volunteer to make the program a success.

√ Help your volunteer appreciate your students as well as you do.

Educational Resource

√ Your experience in the classroom and with your students is invaluable.

√ Be supportive – most volunteers may be nervous.

√ Create activities that link your volunteer’s work to your lesson plans.

Classroom Facilitator

√ Inform your students of their volunteer’s weekly visit.

√ Organize students into groups or partners when required for an activity.

√ Help involve all of your students during the activities.

√ Assist your volunteer in clarifying difficult concepts and ideas.

School Liaison

√ Inform your volunteer of the procedure for field trips and bringing in snacks.

√ Inform your volunteer of school holidays, class trips and changes in the school schedule which coincide with your volunteer’s classroom visits.

Disciplinarian

√ Create an atmosphere conducive to learning.

√ Go over classroom rules and procedures (quiet down signal may use with the students) with your volunteer.

Recognize

√ Thanking your volunteer for his or her commitment to your students goes a long way!

√ Have students sign one large thank you card or have them create individual cards or letters.

Word Verification: