Citizen's Academy Interest Form

Name * Required
First Last
Email * Required
Home Address * Required
Street Address Address Line 2 City State ZIP Code
Why do you want to be a member of the Citizen's Academy? * Required
How long have you lived/worked in Rutherfordton? * Required
Are you willing to be photographed during the event and share your thoughts on the Citizens Academy experience? * Required
Consent * Required
By submitting this form, the applicant understands that this event will be interactive.
Participants should wear comfortable, closed-toe shoes. Moderate walking and up to 30-minute periods of standing during the tour are expected as participants will tour facilities normally not accessible to the public.

Citizen’s Academy Interest Form