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Welcome to the City of Montgomery, OH, Action Line
Today is Friday, May 24, 2013.
Citizens' Leadership Academy Application - 2013

The Montgomery Citizens’ Leadership Academy is a unique opportunity for citizens to learn about the City of Montgomery in order to foster a better understanding and working relationship between the two.

  • The application must be filled out completely.
  • In the interest of fostering diverse perspectives and enhancing the participants' experience, candidates will be selected to achieve a balanced class.
  • You must live or work in the City of Montgomery to be eligible for.
  • Please make sure you are committed to attend all 10 classes.
  • If you miss more than 2 classes during a session, you will not be able to graduate with your class.
Application deadline is September 30, 2012!

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
* Email:
* Daytime Phone: (
Address:
City:
State:
ZIP:

*
Male
Female
 
* Date and place of birth.
 
* Years Living or Working in the City of Montgomery.
 
Personal History – Please tell us about yourself, i.e. interests, accomplishments, community involvement, etc.
 
* Are you a member of any City of Montgomery Boards or Commissions?
Yes
No
 
If you are a member of any City of Montgomery Boards or Commissions, which one? (check all that apply)
Arts Commission
Beautification Commission
Board of Tax Review
Civil Service Commission
Board of Zoning Appeals
Environmental Advisory Commission
Landmarks Commission
Parks & Recreation Commission
Planning Commission
Sister Cities Commission
Montgomery Historic Preservation Association
12
 
Please list any civic, professional, business, religious, social or other organizations in which you are a member. If new to Montgomery, you may include activities in your prior location.
 
In your opinion, what is the difference between being a “resident” and being a citizen?
 
Briefly discuss what you hope to learn as a participant in the Citizens’ Academy Program and how you anticipate using the information.
 
Do you have any special areas of interest connected to government, or anything you would like to learn more about?
 
* Are you planning to attend all sessions?
Yes
No
 
If you are not able to attend all 10 session, please explain.
 
* Permissions
I hereby give my permission for the City of Montgomery to use any still photograph or video footage in which I may appear for whatever purposes(s) deemed appropriate. I do this voluntarily and with the understanding there is no remuneration.
2
 
How did you hear about the Montgomery Citizens' Leadership Academy?
 
Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

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