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Citizen Academy Enrollment Form

Steps

  1. 1. Step One
  2. 2. Waiver, Release, and Hold Harmless Agreement
  • Step One

    1. City of Casselberry Citizen Academy Enrollment Form

    2. This form is a PUBLIC RECORD under Chapter 119, Florida Statutes, and is open to public inspection.

    3. If you are interested in participating in the Casselberry Citizen Academy, please complete this form in its entirety.

    4. Street Address (No P.O. Boxes)

    5. 2020 Casselberry Citizen Academy Schedule

      *All classes will begin at 6:30 p.m. and will be held at City Hall. Participants must attend 5 out of 6 classes in order to graduate. The program will be limited to 15 individuals and enrollment will be determined on a first come, first serve basis. Participants must be a resident of the City of Casselberry, at least 18 years of age or older, and not currently serving on a City Board, Commission, or Committee. Only one individual from each household will be eligible to participate.*

    6. Are you a City of Casselberry resident?*

    7. Are you 18 years of age or older?*

    8. Do you currently serve on a City Board, Commission, or Committee?*

    9. Electronic Signature Agreement

      By checking the "I agree" box below, you agree and acknowledge that you understand the requirements of the program and certify that the information provided is true and complete to the best of your knowledge and belief.

    10. Electronic Signature*

    11. Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.