Civic Synergy Summer 2024 Program Application

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Thank you for your interest! Please email Laura@civicsynergy.live if you have questions about applying. Learn more about the program and participant expectations here: https://civicsynergy.live/our-program

Open-ended questions are not intended to be long answers - please give us a brief overview of your thoughts (2-5 sentences).

Priority deadline: APRIL 26

Final deadline: MAY 14

After April 26, we will accept applications on a rolling basis if we haven't reached maximum capacity, so we encourage you to apply early.

Email *

Name *

Age
(We ask for age since we're only accepting participants ages 18-30 at the moment) *

Gender
(You can choose to write "prefer not to say" if you'd like)
*

Affiliated school, organization, or company
*

I would describe my political leaning as the following:

For more info on the difference, check out this explainer

Liberal

Conservative

I would describe my political leaning as the following:
For more info on the difference, check out this explainer
*

Libertarian

Authoritarian

Where do you currently live? (City, State, Congressional District - i.e. Oxford, MS, MS-1)
*

If different than where you live, where are you registered to vote? (City, State, Congressional District - i.e. Oxford, MS, MS-1) *

OPTIONAL - What is your race/ethnicity? (You can select multiple options if needed)

Hispanic/Latino

White

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

Other:

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