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Citizens University Application

Citizens University Application
Sessions are conducted Mondays from 7-9 p.m. Participants must be at least 18 years old, a Brazos County resident and not be candidates for political office during the program.
Name
First
Last
Home Address
Street
City
State
Zip
E-Mail

Phone Number(include area code)

Occupation or Profession

Employer (past or present)

Date of Birth
(mm/dd/yyyy)
Are you a registered voter?


Security Measure
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