Please fill out your JPO Sponsorship form below. Thank you!
Parent/Guardian First Name
Parent/Guardian Last Name
Child First Name (please include the name they prefer to be called)
Child Last Name
Email
Child Email Address (We find it most helpful when kids in the class can communicate with each other and will set up a class email group.)
Additional Parent Email Address
Chapter Name, if applicable
Age of Child
State and Country of Residence/ Time Zone
Parent Telephone Number (We use this to create WhatsApp or text groups and to provide needed communication to succeed with JPO.
Child Telephone Number (We will create WhatsApp Groups for the kids to communicate regarding JP experiences and events. This is particularly important for collaborative projects.)
Would you like to be included in the Membership Directory so you and other members can contact friends of your child and parents of other children in this growing community? Note that this directory is highly confidential, but can be used effectively like your president's organization directory.
Yes
No
What goals do you have for your child in this program?
What are three strengths that you would use to describe your child?
We will create small groups of students based on commonalities. What are some interests of your child?
Would you be interested in volunteering to lead small group discussions during our course sessions?
Please share anything else that you would like us to know about your child
Would you like to start a JPO Team?
Yes
No
Enter Your Team Name (if you know it)
Enter the names / email addresses of team members.
Would you like to join a JPO Team?
Yes
No
Did you have friends on a team already or would you like us to choose one for you?
Do you want your team limited to a geographical region? If yes, which region?
Do you want your team to be limited to YPO and/or EO Members? If yes, who?
Submit