Reedy Creek Elementary, May 9, 2008  Waterbridge Elementary, May 20, 2008        

Please select a training date:

May 1st, 1:30 - 2:30 pm at Team Disney

May 5th, 11:00 am - 12:00 pm at Disney University

May 16th, 3:00 - 4:00 pm at Team Disney

Are you a returning volunteer?    Yes  No         Gender: Male  Female

Are you bilingual?  Yes  No

Grade Levels you would like to teach are: K  1st  2nd  3rd  4th  5th

Ethnicity: (Requested by JA Worldwide for grant purposes)

African American Alaskan Native  American Indian  Asian  Caucasian

Hawaiian  Hispanic Multi-Racial

Volunteer Name:

Title:

Company Name/Division:

Company Address:

City:  State:   Zip:

Phone:  Fax:  Email:

Home Address:

City:  State:   Zip:

Home Phone:    Cell Phone: