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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.