Gwinnett 101 Citizens Academy Application Form - Gwinnett County

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Have you applied before?

Participant Information

First Name

Last Name

Preferred Name and Pronouns

Address Type

Street Address

Apt / Suite / Other

City

State

Zip

Select your Gwinnett County commission district

Find your commission district

Mailing Address (if different from home or business address):

Do you have a different mailing address than the one entered above?

Street Address

Apt/Suite/Other

City

State

Zip

Phone

Alternate Phone

Email Address

Do you require any special accommodations to participate, such as mobility or hearing accommodations or dietary restrictions like gluten-free, dairy-free, or other?

If yes, please explain.

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Eligibility & Attendance

Participants must be a resident of Gwinnett County, have a business in Gwinnett, or be an enrolled student in a Gwinnett college or university. Participants must attend all sessions and are required to attend the orientation and graduation. Gwinnett County employees are not permitted to apply.

Please select at least one

I am a resident of Gwinnett County.

I have a business in Gwinnett County.

Name of Business

I am a student of a Gwinnett college or university.

Name of School

Can you attend all classes?

If no, please explain.

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View Schedule

Please note that the orientation and graduation sessions are mandatory. Missing excessive sessions will result in withdrawal from the program.

How long have you lived or owned a business in Gwinnett?

Do you currently serve on a County board or commission?

If yes, please explain

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Short Answer Questions

How did you hear about Gwinnett 101 Citizens Academy?

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Have you participated in any other county or city citizen programs before?

If yes, please explain

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Why are you interested in joining the Gwinnett 101 Citizens Academy, and what makes you an ideal candidate for the program?

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What services or government functions are you interested in learning more about?

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What aspects of community engagement and volunteerism interest you the most?

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Please describe your community involvement in the past five years (boards, volunteerism, religious, political, HOA, etc.).

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Please describe any leadership positions you've held in Gwinnett County, if any.

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Please share your level of education (bachelor's degree, graduate degree, certificate, etc.).

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Additional Information

The following is for statistical purposes and to ensure that we reach a cross section of the Gwinnett community.

Gender

Race/Ethnicity

Age

T-Shirt Size

Other T-Shirt Size

Enter T-shirt size if not found in the list

Disclaimer

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I agree to the Liability Waiver Disclaimer

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Citizens Academy Application

Participant Information

Mailing Address (if different from home or business address):

Eligibility & Attendance

Short Answer Questions

Additional Information

Disclaimer