Citizens Government Academy Application

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Please use this form to apply for the Fall Semester of the Citizens Government Academy 2019.
Deadline for submission is August 30th, 2019.

There will be 8 classes total beginning on September 9th at 6 P.M. in the City Hall Council Chambers.
The course will run for 9 weeks, ending Monday night, November 4th.

Each class will typically run until 8 P.M. We do take your busy schedules into consideration. Certificates of completion will be given to those who attend at least 6 of the 8 classes.

Name *

First and last name

Email *

Phone number *

Are you over the age of 18? *

Yes

Occupation

Current Employer

Why are you interested in CGA? *

Volunteer Experience (write N/A if you have none) *

Work Experience (write N/A if you have none) *

Any other relevant experience?

Please type your name. This electronic signature certifies that the above information is true and complete to your best knowledge and belief. *

Today's Date *

YYYY

Submit

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