To be considered eligible for participation in the Citizens Academy program applicants must be 18 years of age and a Hurst resident. All participants will be required to attend at least 80% of the meetings to receive a certificate of completion.

 Contact Information:

To be considered eligible for participation in the Citizens Academy program applicants must be 18 years of age and a Hurst resident. All participants will be required to attend at least 80% of the meetings to receive a certificate of completion. Contact Information:

First name:

Last Name:

Address:

Zip Code:

Phone Number:

Cell Phone Number:

Email Address:

Business Address (if applicable):

Business Phone Number:

 T-Shirt size:

T-Shirt size:(Select an Answer) X-Small Small Medium Large X-Large XX-Large XXX-Large

 

Why do you wish to participate in the Citizens Academy?

What do you hope to gain/learn from participation in the Citizens Academy?

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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