Just the Beginning - A Pipeline Organization ConnectED for Middle School Students

Page 1 - Program Information

Disclaimer
Please note that this registration requires information and signatures from both the student and the students' parent/guardian. You will be allowed to save this application and come back to it at a later time. The registration will close on July 17, 2020 or when capacity is reached. Early submission is highly encourages and only completed registrations will be admitted to the class. 
ConnectED for Middle School Students
ConnectED for Middle School Students is a fun and educational virtual program designed to introduce middle school students to the legal field. Students will hear the stories of federal judges and their journey to the bench, take a virtual courthouse tour, learn what it takes to become a law student, discuss current legal topics, and participate in workshops that build legal skills. Get ConnectED! 

The program is available on August 5, 2020 and the sessions are approximately two to three hours long in total. The lessons are self-directed. 

A complete application includes a completed application form, student and parent signatures, and the following supporting documents:
  • A Statement of Interest (For those who applied to Middle School Law Camp, you may use the statement of interest previously provided.)
Please note: The program is virtual and FREE to all students. To participate, you will need a computer with video and mic capabilities and access to the internet.  

Page 2 - Application

Student Contact Information















Parent/Guardian Contact Information




Optional Secondary Parent/Guardian Contact Information




Optional Secondary Contact Information
JTB will send copies of program information to an additional email.  Please include the email address of a teacher, coach or mentor who you would like to receive copies of important information.



Page 3 - Demographics

Student Demographic Information
The following information will used for demographic purposes only.








Page 4 - Additional Application Materials

Supporting Documents

Page 5 - Signatures and Consent

Program Requirements
If selected, students are expected to complete 1.5 hours of sessions from Monday through Thursday of the week they are registered. 
I have read and understand the above:


Photo Release Form
In consideration for my child(ren) being permitted to participate in the Just The Beginning – A Pipeline Organization (JTB-APO) program or activity, I hereby grant permission to JTB-APO and each of its affiliated or subsidiary companies, their successors, agents, and assigns to utilize my child(ren)’s name, voice, and likeness (including, but not limited to, photographs and any video/audio recording of my child(ren)’s appearance at the program or activity) in any and all manner and media, now known or hereafter developed, throughout the universe in perpetuity without limitation and without additional compensation or consideration, notification, or permission, unless prohibited by applicable law.

I hereby waive any right that I or my child(ren) may have to inspect or approve any finished product (including, but not limited to, any blog, newsletters, brochures, videos, slide shows, websites, and/or other materials) or any advertising copy that may be used in connection therewith or the use to which it is applied. I hereby warrant that I have the right to make this release on behalf of my child(ren) and that my granting this waiver and release and the rights conveyed thereby will not infringe upon the rights of any third party. I hereby assign all rights, title, and interest my child(ren) or I may have in any and all media now known or hereafter developed in which any or all of my child(ren)’s appearance, name, voice, and/or likeness have been captured in connection with the program or activity to JTB-APO, along with full rights of assignability. I understand and agree that any photographs and/or video/audio recordings I make of my child(ren) at the JTB-APO program or activity shall be used solely for my and his/her/their private, noncommercial use, and that absolutely no sale, transmission, distribution, or commercial use of any such photographs and/or video/audio recordings or descriptions are permitted.
I have read and understand the above:


Informed Consent - Evaluation Participation
If your student is selected to participate in a Just The Beginning – A Pipeline Organization (JTB-APO) program.  As a routine part of all JTB-APO programs, students are asked to participate in an evaluation process that is integral to ensuring the program best meets the needs and interests of the young people that we serve.  As a parent or guardian, your consent is requested prior to the beginning of the program.  Students will be informed of the evaluation components of the program and will have the opportunity to choose not to participate based on their level of comfort.  There will be no negative consequences for students who choose not to participate or who discontinue their participation at any point.  The information gathered as part of the evaluation will be kept confidential and will not be utilized to evaluate or provide feedback to any specific student; rather the evaluation data as a whole will be analyzed to better understand the students’ experiences. By signing the form below, you are giving your consent for the student to participate in that evaluation process.
I have read and understand the above: