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2022-2023 Civic Coach Application
The Georgia Center for Civic Engagement is accepting applications for the 2022-2023 School Year for Civic Coaches. Please fill out the information below to submit your school for nomination for a Civic Coach.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Email
*
Your answer
Phone number (best number to reach you)
*
Your answer
School (please no acronyms)
*
Your answer
My school is a Title 1 School
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Yes
No
Grade(s) Taught (select all appropriate)
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6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Required
Subject(s) Taught:
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Your answer
In a perfect world, what would your school's civic program look like?
Your answer
Does your school currently have a student leadership program? (Student council/government, Youth in Government Club, etc.)
Yes
No
Clear selection
If you answered yes, then what student leadership program does your school have?
Your answer
Are you willing to bring students to competitions?
Yes
No
Clear selection
Are you willing to stay after school on occasion to work with students to prepare for competition or work on service projects?
Yes
No
Clear selection
My Administration will support my leadership of this program in our school and our school's full participation.
Yes
No
Unsure
Clear selection
A copy of your responses will be emailed to the address you provided.
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