First Name
Last Name
Email
Phone
Street Address
City
State
Zip Code
Age
16-19
20-29
30-39
40-49
50-59
60
How long have you lived in Catawba County?
Why are you interested in participating in the Civic Leadership Academy?
How did you hear about the Civic Leadership Academy?
Will you be available to attend all sessions?
Those who are selected to participate in the Civic Leadership Academy are strongly encouraged to attend all sessions in order to fully benefit from the program. If you are unable to make this commitment, please do not apply at this time.
What is your preferred shirt size?
XS
S
M
L
XL
XXL
Submit