Form Center

2. 
4. City Hall Citizens Academy Waitlist

   Please fill out the form completely before submitting it. ALL information is required. If a blank does not apply, type "NONE" or "N/A." Applicants must be 18 years of age or older.

6. Full Name (First Middle Last):*
8. Street Address:*
9. City, State, Zip Code:*
11. Email Address:*
13. Have you ever been arrested, convicted, or cited for any crime other than a traffic offense*

    1. YES
    2. NO
15. If YES, please explain and provide dates:
17. Are you a city employee?*

    1. Yes
    2. No
19. How did you hear about this class*
20. If referred, by whom
22. For more information, please contact Public Information Office at (940) 761-7401
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field