Citizens Academy Application Form

City of Pittsfield Seal

City of Pittsfield
2018 Citizens Academy
Application Form

Eligibility Requirements: To be considered for participation in the Citizens Academy, an applicant must be 18 or older and a resident of the City of Pittsfield. The deadline for application submittal is Friday, June 29, 2018.

Name:

Address:

Phone:

Email:

Number of years as a Pittsfield resident:


Will you need access to transportation: Yes  No 

What sparked your interest to apply for the Citizens Academy?


Have you ever previously volunteered on a city board or commission or in any other community organization? If so, which ones?


What do you hope to learn/gain from this academy?


Signature: 
Date: