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* 1. Contact Information:

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* 2. Date of Birth:

Date:

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* 3. Employer (past or present)

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* 4. Occupation, profession or field of study

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* 5. Are you a registered voter?

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* 6. Why do you want to participate in Citizens University?

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* 7. List any current community involvement activities:

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* 8. What questions would you like answered regarding the City of College Station?

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* 9. How did you hear about Citizens University?

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* 10. The following guidelines are in place to ensure that each and every participant has an enjoyable and educational time.

  • If you miss more than three sessions, you will not receive a graduation certificate.
  • If you know you cannot make a session or need to drop out of the program, contact the program coordinator.
  • Outside guests (including children and pets) are not allowed to attend sessions, unless it has been approved by the program coordinator.
  • Cell phones should be on silent and placed out of sight during sessions.
  • This program is not intended for a time to air grievances or issues with city staff. If you have a personal question or issue, please contact staff outside of the session.
  • Be kind and respectful to your fellow participants and presenters.
  • Last but not least, HAVE FUN!

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