2021 Wilsonville Citizens Academy Application

Name: *

Place of Employment:

Email Address: *

Home Phone Number: *

Cell Phone/Other:

Home Address: *

Why would you like to be a participant in the Wilsonville Civics Academy? *

What community activities or volunteer services are you currently involved in? *

What does it mean to be a community leader? Do you consider yourself a leader? *

What experience or knowledge will you contribute to the program? *

What do you hope to gain from completing the Wilsonville Civics Academy? *

Have you reviewed all meeting dates and times, and do you agree to attend each session, be on time, and to be an engaged participant? *

Yes

Please provide a brief description or bio about yourself *

Top Requests