Raleigh Neighborhood College Application

Raleigh Neighborhood College is a series of free evening classes to bring you information about the City of Raleigh's programs and services. The intent is to help you become a better informed and more engaged resident of Raleigh.

Many graduates of Raleigh Neighborhood College become leaders of neighborhood groups and are appointed to City of Raleigh advisory boards and commissions.

If you apply now, your application will be considered for the fall 2012 session. Classes are tentative scheduled to take place on Thursday evenings starting in early September.

To learn more about Raleigh Neighborhood College, call the City of Raleigh Community Services Department at 996-6100 or visit www.raleighnc.gov/communityservices and click on Raleigh Neighborhood College.

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1. Please tell us about yourself.

Please tell us about yourself. Name:
Date:
Home address, including street, city and ZIP code:
Mailing address, including street, city and ZIP code (if different from above):
Email:
Day Phone:
Evening Phone:

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2. How long have you lived in Raleigh?

How long have you lived in Raleigh?

3. Occupation:

Occupation:

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4. How did you hear about Neighborhood College?

How did you hear about Neighborhood College?

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5. Why do you want to participate in Neighborhood College?

Why do you want to participate in Neighborhood College?

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6. Have you participated in your Citizens Advisory Council (CAC), served on a City of Raleigh board or commission or belonged to a neighborhood association or other similar organization?

Have you participated in your Citizens Advisory Council (CAC), served on a City of Raleigh board or commission or belonged to a neighborhood association or other similar organization? Yes

7. If the answer to Question No. 6 was "Yes," please provide details.

If the answer to Question No. 6 was "Yes," please provide details.

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8. Please tell us one interesting fact about yourself!

Please tell us one interesting fact about yourself!

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9. If you are selected to attend Neighborhood College, you are strongly encouraged to attend all classes to fully benefit from the program. If you are unable to attend all classes, please do not apply at this time.

Will you be able to attend a two- to three-hour class, once a week, for 13 weeks?

If you are selected to attend Neighborhood College, you are strongly encouraged to attend all classes to fully benefit from the program. If you are unable to attend all classes, please do not apply at this time. Will you be able to attend a two- to three-hour class, once a week, for 13 weeks? Yes

Comments:

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10. Photographs may be taken during Raleigh Neighborhood College classes. These photos may be used in City of Raleigh print and electronic promotional materials, such as newsletters, brochures, PowerPoints and website articles.

Do you give the City of Raleigh permission to use photos of you in promotional materials, including newsletters, brochures, PowerPoints and website articles?

Photographs may be taken during Raleigh Neighborhood College classes. These photos may be used in City of Raleigh print and electronic promotional materials, such as newsletters, brochures, PowerPoints and website articles. Do you give the City of Raleigh permission to use photos of you in promotional materials, including newsletters, brochures, PowerPoints and website articles? Yes

Raleigh Neighborhood College Application

*1. Please tell us about yourself.

*2. How long have you lived in Raleigh?

3. Occupation:

*4. How did you hear about Neighborhood College?

*5. Why do you want to participate in Neighborhood College?

*6. Have you participated in your Citizens Advisory Council (CAC), served on a City of Raleigh board or commission or belonged to a neighborhood association or other similar organization?