Peoples Academy Application
The Peoples Academy is a 5-week, 10-class program designed to give people who live, work, study or play in Chapel Hill a behind-the-scenes look into how the Town operates, and to empower people to get involved. Participants are asked to complete at least six of the ten classes in order to graduate. We meet over five weeks on Thursdays and Saturdays from October 4 - November 3, 2018. Applications are open June 1 - August 31. Applicants will be told by September 15 if they are selected to participate.
Personal Information
Note: Your address will only be used to make sure we are including people from all over Chapel Hill.
First and Last Name *
Your answer
Street Address *
Your answer
City/State/Zip *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Interests & Preferences
What are you hoping to gain through this experience? *
Your answer
Which of the following topics most interest you? *
Which of the following times on Thursdays would you prefer to attend classroom sessions at the Chapel Hill Public Library? *
Do you require childcare in order to participate? *
If you answered yes or possibly, how many children would you need childcare for and what are their ages?
Your answer
Do you need transportation to and from the Peoples Academy? *
Have you served on a Town board or commission either currently or in the past? *
Other Demographic Information
To help us make sure we are including all kinds of people in the Academy, we ask that you please provide the following information.
Are you a Town of Chapel Hill employee? *
Gender *
Ethnicity (check all that apply) *
Age *
Are you served by any of the following organizations?
Are you part of the UNC Community? *
How would you describe your relationship or communication with the Town? (For example, do you regularly attend Town Council meetings? Do you subscribe to the Town's eNews updates? Could you be more connected to the Town?) *
Your answer
Do you have a smartphone you can use during the Academy sessions? *
How did you hear about the Peoples Academy?
If you answered "other," please explain:
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms