Thanksgiving Holiday Closings... MORE

Hover here for Site Tools

Government Citizens Academy Application

* Required 

Applicant

Applicant name *

 

Applicant address *

 

Applicant phone *

 

Applicant email *

 

You will automatically receive the county's e-newsletter, Weekly Update, and information about your district 


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

    

If yes, indicate department name

 


In which Magisterial District do you live? *

    

Government Citizens Academy

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

  

What is your interest in the Chesterfield County Government Citizens Academy and what do you hope to learn from attending?

 

Emergency contact

Emergency contact name

 

Emergency contact phone

 


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