JA's BizTown 2009-2010 Program Agreement

School Information

School Name: School Phone:

School Fax: School Address:

Contact Person: Contact's Email:

Contact Phone:

# Students: *(a minimum of 60 students required, maximum of 120 per visit day)

Grade Level: Principal's Name:

JA BizTown Visit Time: (typical visit is aprox. 4.5 hours 9:30am-2:00pm)

School has participated in JA's BizTown prior to 2009-2010: Yes: No

Please select your school's 1st & 2nd choice for a date to visit JA's BizTown. We will do our best to accomodate your request.   Keep in mind when selecting a visit date, that JA's BizTown Curriculum begins 4-6 weeks prior to your visit. If you are requesting financial assistance, you must select a date prior to March 31st.
1st Choice Date:       2nd Choice Date:

Financial Information
Please indicate below how your school plans to fund your BizTown visit, as well as your plans for volunteer recruitment.
Funding:
Self Funded *(School will fund $30.00 fee per student & bus transportation fees)
Financial assistance *(Our school is over 50% free and reduced lunch and we may need assistance.)
The school will be responsible for arranging and paying for transportation. Funding assistance is not guarenteed.
                         -Amount Requested $:

Volunteers
Volunteer Recruitment:
School *(School will recruit 21 volunteers for the JA BizTown visit day)
Assistance *(School will need assistance recruiting volunteers for the JA BizTown visit day)

After submitting your application, remember to send in your non-refundable $200 deposit to:
Junior Achievement of Central Maryland
Attention: JA's BizTown Deposit
10711 Red Run Blvd., Suite 110
Owings Mills, MD 21117

*It costs Junior Achievement $100 per student to participate in the JA BizTown program. Your school is responsible for paying $30 per student of the $100 cost. A non-refundable deposit of $200, payable by check or credit card, is due to Junior Achievement to complete your registration process. All other fees are due 45 days prior to your JA BizTown visit unless other arrangements have been made. Late fees will be applied if necessary. Written cancellations will only be accepted 90 or more days prior to your school's JA BizTown visit day. If a cancellation is made within 90 days of your school's visit day, your school is responsible for the full invoice. Schools are invoiced for the number of instructional material sets provided for each school/student. Refunds will not be made for students who participate in the classroom experience, but who are unable to attend the on-site visit.

I have read and accept these terms on behalf of my school & principal.: Agree to Terms: Yes