LC101 Application

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NOMINEE INFORMATION

Name

Phone

Address

City

Zip

If you live outside of city/town limits, please tell us where you live:

How long have you lived in Larimer County?

Occupation/Employer, Retired?

Have you gone through similar community classes, such as City Works 101 or the Larimer County Sheriff's Office Citizen Academy?

If yes, which one(s)?

Are you currently, or have you previously, served on a Larimer County Board or Commission?

If yes, which one(s)?

Do you regularly attend any of the monthly Commissioner Community Meetings?

If yes, which one(s)?

Why do you want to participate in Larimer County 101?

In your opinion, what are the three most important issues facing Larimer County today?

Can you attend all LC101 sessions?

Do you have transportation available to attend these classes located in and around the Fort Collins and Loveland area?

Will you be needing any reasonable accommodations? If so, what?

How did you hear about Larimer County 101?

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