Class Start Date Form  (For Tyler area, including Whitehouse, & Athens, Texas)

Please complete this form when you have scheduled your first JA session and click the "Submit" button.

* Fields are required

Volunteer Name*           Email Address 

Company 

School*       Teacher*        Number of students 

We have started or are scheduled to start the first of the JA sessions on the following date* 

I understand that all sessions must be completed before the end of this semester.

If you need to contact us, please call us at 903-581-7482.