Verification and Evaluation Form
Name: Email:
Date Completed:
School: Teacher:
Grade:
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Number of Students in Class:
Presented all lessons/activities:
Yes
No
Junior Achievement provided me with the support I needed or
requested (e.g., additional materials, class visits, phone contact,
program ideas).
Yes
No
What else could Junior Achievement have done to support you as a
volunteer?
My overall experience with JA was:
Rewarding
Worthwhile
Unsatisfactory
Comments:
Would you like to volunteer for Junior Achievement again?
Yes
No
Recognition within your company:
Please help us to ensure you receive the recognition you deserve for
teaching a Junior Achievement program. In the space below list the
name and address of who could receive a letter of thanks for
your efforts...your supervisor, company head, company newsletter, etc.
(Please provide complete names - including Mr./Ms. & complete
addresses). We will send a copy to you, as well.
Name: Company: Address:
Title:
City, State, Zip: