Citizens Academy Application

Citizens Academy applications are closed at this time. Please check Seminole County’s official social media for information on upcoming programs.

1. GENERAL INFORMATION

Last Name *

First Name *

Date of Birth: (MM/DD/YYYY) *

Sex

Home Phone

Cell

Work

E-mail Address *

2. RESIDENT INFORMATION

I am a Seminole County

Please select the Commission District of your home/business:

Address: *

City: *

Zip: *

How many years have you been a Seminole County Resident/business owner?

Are you a member of a Homeowners' Association (HOA)?

3. PERSONAL INFORMATION

Occupation

Employer

Work Address

Please briefly describe community or volunteer activities in which you currently participate. Please include the name of the organization and type of activity.

Why would you like to participate in Seminole County’s Citizens Academy?

What do you hope to gain through your involvement in this program?

4. SAFETY AND AGREEMENTS

EMERGENCY CONTACT

Name

Relationship

Address

Phone

* The Seminole County Citizens Academy program is available to participants free of charge. In order to facilitate this program at no cost, participants are required to attend at least eight (8) of the ten (10) sessions in order to complete the program and participate in the graduation ceremony. By signing below you affirm that, if selected for the program, you will attend no fewer than the minimum required number of sessions and that, if three (3) or more sessions are missed, your enrollment in the program may be terminated.

* I certify that the information provided in this application is true and complete to the best of my knowledge.

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Citizens Academy Application

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