Nominate a JA Young Ambassador | Junior Achievement of Arizona

Nominator Name*
First Last
Nominator Email*
Student Information
Must be filled out in its entirety for our consideration.
Student Name*
First Last
Student's School*
Student's Grade
Parent/Guardian Name*
First Last
Parent/Guardian Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent/Guardian Email*
Parent/Guardian phone Number*
Does this student have reliable transportation?*
- Yes
- No
Teacher and Principal Information
Teacher Name*
First Last
Teacher Email*
Teacher Phone Number
Principal Name
First Last
Principal Email
Tell Us About Your Nominee
Why do you believe they would make a good student ambassador for Junior Achievement? How were they impacted by their involvement in our programs?
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Student Information