JA World Remote Learning Program Registration

Please complete one registration per student

For more information or if you need assistance with registration, please call (954) 979-7100 or email Info@JASouthFlorida.org.

Student Information

Please note: A separate registration form must be completed and submitted for each student.

This form WILL NOT save if it is partially completed, so please review and be sure you have all necessary information and documentation ready to input and upload. Required documents to upload (PDF or JPEG) include:

  • First page of your tax return to prove Household Income (if your tax return is not reflective of your current household income due to a life change such as job loss, then documentation of that life change, such as a termination letter from a job is also required in order to qualify for additional financial assistance)
  • If your child is under 6, Certificate of Good Health (HRS Form 3040) and Florida Certificate of Immunization, including a TB test (HRS Form 680)
Junior AchievementRemote Learning Registration