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JA Inspire Virtual Student Registration
Thank you for your interest in JA Inspire Virtual! Please fill out this brief form, and we will contact you to provide log ins for you and your students.
Please contact JA at
programs@jasac.org
or 916-768-8557 with any questions!
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* Indicates required question
I am a...
*
Principal
Counselor
Teacher
Other:
Your Name
*
Your answer
Your Email
*
Your answer
Your Phone Number
*
Your answer
District
*
Your answer
School
*
Your answer
What grade level(s) are the students you would like to "pre-register"? (Check all that apply)
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6th
7th
8th
9th
10th
11th
12th
Required
Approximately how many students would you like to reserve space for? The more the better!
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Your answer
When do you anticipate your students will participate in JA Inspire Virtual?
*
Sometime in March
Sometime in April
Sometime in May
I'm not sure yet.
Other:
Where did you hear about JA Inspire? (Check all that apply)
*
A JA of Sacramento Email
Social Media
A friend or colleague
Other:
Required
We appreciate your time! Do you have any specific questions or comments regarding your interest in JA Inspire Virtual?
Your answer
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