Carroll County Citizens Planning Academy Application

Department of Planning and Land Management

Name*

First NameLast Name

Street Address*

Phone Number*

Email Address*

example@example.com

Gender

Ethnicity optional

Age*

Legal Guardians Name if under 18

Legal Guardians Number/Email Address if under 18

example@example.com

Years resided in Carroll County

Current Occupation

What is your primary language

What are your past experiences with planning in Carroll County (i.e. comprehensive/master planning, development project review, serving on board/commission, etc.)?

What do you hope to learn about in the academy Are there specific current community issues of particular interest to you

The academy has four goals:

Goal 1: Alumni will increase their knowledge and future participation in local government planning by becoming an Informed Citizen.

Goal 2: Alumni will increase their knowledge and future participation in local government planning by becoming a Community Advocate who will effectively participate and inspire others to participate in the Planning process. Participation and inspiration can include providing information to local clubs, civic organizations, and political groups whereby these community advocates inspire others to become informed and involved.

Goal 3: Alumni will increase their knowledge and future participation in local government by becoming a Volunteer board/commission/committee member that is empowered to make recommendations/decisions for the government, or.

Goal 4: Alumni will increase their knowledge and participation in local government by becoming an Aspiring elected official who will continue to guide County Government

Which of the above goals best describes your interest level for participating in this academy you may pick more than one

Goal 1Goal 2Goal 3Goal 4

What community activities are you currently involved in (i.e. HOA Board, Rotary Club, etc? How could the academy contribute to the community activities you are currently involved in?

Have you previously applied to the academy and were not accepted?

YesNo

With the submission of this application, I am confirming the following:

I will attend all six weeks of the planning academy, (March 20 to May 1, from 6 to 8 PM.) No session will be held on April 17.
I will participate in all hands-on activities.
I plan to become part of the Citizens Planning Academy Alumni Network.
I understand meetings will be in person at the Westminster Senior Center, except for week 5.

Being part of the Citizens Planning Academy Alumni Network, you will be subscribed to our academy alumni email list. You will be sent information that may include, alumni updates and notifications about important planning initiatives of Carroll County Government.

Do we have your permission to use your photograph on social media, county website, and Planning Academy publications?

YesNo