Citizens' Leadership Academy Application

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The City of Shoreview is looking for applicants for the 2019 Citizens' Leadership Academy. This is a 6-week program to allow participants to learn about the City and its operations and functions. The 2019 dates are:

  • Wednesdays, March 20 & 27, April 3, 10, 17, & 24, 6 - 8:30 p.m.
  • Monday, May 6, 6 - 7 p.m. (graduation ceremony)

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Name
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Email
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Street Address
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Phone Number
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Are you age 18 or older?
Are you age 18 or older?
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Have you ever served on a board or commission for a local government?
Have you ever served on a board or commission for a local government?
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If yes, what board or commission did you serve on?
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Why you are interested in participating in the academy?
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Please list any topics that you would like to see discussed during the academy.
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How do you plan to use the knowledge and skills you gain from the academy?
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Do you give City staff permission to use your image on official documents, brochures, and/or videos?
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Do you give City staff permission to use your image on official documents, brochures, and/or videos?
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As part of the academy, we encourage you to make connections with other residents in the class. In order to help make those connections, we like to provide a contact sheet to all participants at the beginning of the academy. Do you give City staff permission to provide your name and contact information to other 2019 participants?

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As part of the academy, we encourage you to make connections with other residents in the class. In order to help make those connections, we like to provide a contact sheet to all participants at the beginning of the academy. Do you give City staff permission to provide your name and contact information to other 2019 participants?
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By signing below I am submitting my application for the 2019 Citizens' Leadership Academy and agree to attend all sessions to the best of my ability. 
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  1. To receive a copy of your submission, please fill out your email address below and submit.