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Citizen Academy Application

  1. Personal Information

  2. Organization Membership Information

  3. Have you ever served on a board, commission, or committee for the City of Danville?:*

  4. Please list any civic, professional, business, religious, social, or other organizations of which you are a member. If new to Danville, you may include activities in other communities.

  5. Are you interested in serving on a Board, Commission, or Committee?*

  6. Do you need any special accommodations in order to participate in this program?

  7. Optional: To ensure that we reach a cross section of our community, please choose your:

  8. Sex:

  9. Age

  10. Please note that preference will be given to residents who have completed the Citizen Academy.

  11. Leave This Blank:

  12. This field is not part of the form submission.