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Government Citizens Academy Application

  1. You will automatically receive the county's eNewsletter, Weekly Update, and information about your district.

  2. Are you a current or former employee of Chesterfield County?*

  3. In which Magisterial District do you live?*

  4. Government Citizens Academy

  5. Indicate your first choice of when you would like to attend the Government Citizens Academy*

  6. Emergency Contact

  7. Acknowledgement*

    I acknowledge video and still photos will be taken during the academy and may be used in county promotions.

  8. Leave This Blank:

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