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February 2008

February 2008

Citizens Academy

  • Citizens Academy
    Name:
    Address
    Email Address:
    Your address including city, state, zip code
    Your birthdate
    Are you a U.S. citizen?
    Driver's license number and state
    Your race(0ptional) African American
    Native American
    White
    Hispanic
    Asian
    Gender (optional)
    Employer?
    Your occupation
    Business address and phone number
    Organizations or club memberships
    How did you hear about the Citizen Academy?
    Why are you interested in attending?
    Have you ever been arrested or convicted of a crime? If so, please give details.

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