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Use this form to begin the process of getting your school registered for Exchange City.  All reservations will be filled in the order that they are received.  

Upon receipt of this form, you will be contacted by the Exchange City staff to review the curriculum and details surrounding the Exchange City experience.  This form asks three choices for your Exchange City visit.  Please keep in mind that the Exchange City curriculum calls for 6 weeks of classroom instruction to prepare students for their visit.

Exchange City Information Request
2006-07

To get more information on how to get your school involved in Exchange City, please complete the form below.  A Junior Achievement representative will be in touch with you shortly.

School:

District:

Address:

School Phone:      School Fax:

Principal:

School Contact:

Estimated number of students to be involved in Exchange City::

Dates for Exchange City Visit:
Exchange City will accommodate a minimum of 60 students and a maximum of 140 students.  Remember that your school will need to provide 15 adult volunteers for each City your students utilize.  It is recommended that you look at the Exchange City calendar to see what dates are available, then enter three of your choices for visit dates below.

        Date Choices
  1)
  2)
  3)

If your enrollment in Exchange City is less than 60 students, your school will need to share your date:

We prefer to share with:

We are willing to share with a school selected by Exchange City.

Arrival and Departure:
I estimate that my students would arrive at: a.m. and depart at p.m.