Gwinnett 101 Application

Citizens Academy Community Outreach Program Application Form

Citizens Academy Application

Fields marked are required.

Have you applied before?

Participant Information

Name

Preferred Name and Pronouns

Address Type

Street Address

Apt / Suite / Other

City

State

Zip

Select your Gwinnett County Commission District

Click here for Commission District Map

Mailing Address (if different from Home/Business address):

Street Address

Apt / Suite / Other

City

State

Zip

Phone

Alternate Phone

Email Address

Do you require any special accommodations to participate (including dietary restrictions like gluten free, dairy free, mobility, hearing, etc.)?

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 check 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, which dates?

View Schedule

Please note that Orientation and Graduation sessions are mandatory. Missing excessive sessions will result in elimination from program.

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

Do you currently serve on a County Board or Commission?

Short Answer Questions

How did you hear about Citizens Academy?

Have you participated in any other county citizen programs?

Why do you wish to participate in the Citizens Academy and why would you be a good addition to the program?

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

What interests you the most about civic engagement?

Please list any community involvement in the past 5 years (Boards, volunteerism, religious, political, HOA, etc.)

Please list any leadership positions you've (currently/previously) held in Gwinnett County and which department?

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

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

T-shirt size Other

Enter T-shirt size if not found in the list

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