Mayor's Civics Academy Registration Form

The City of Worcester Civics Academy aims to provide insight into the operations of the City of Worcester from a multi-departmental lens, allowing residents to feel empowered with the knowledge gained from the experience. We hope that this opportunity will offer a safe venue for respectful discussion. The City of Worcester Civics Academy will be a 5-week in-person course starting March 5th that will be taking place biweekly from 5:30 - 8:30 p.m. with dinner included. Seats are limited and open to Worcester residents only, so a commitment to attend will be required.

Phone Number

Job Title and Employer

Do you speak more than one language?

Yes

Indicate the additional languages you speak:

Years Lived in Worcester

What are you hoping to learn from the Civics Academy?

Please list any food allergies/dietary restrictions:

The Civics Academy sessions will be recorded and shared on the City of Worcester's website and social media. Do you consent to be photographed/recorded?

Yes

Will you need any accommodations to be able to participate in the Civics Academy?

Yes

Please describe the accommodations needed to participate:

Do you pledge that you can commit to attend all Civics Academy sessions?

Yes

Do you pledge that you will be able to partake in respectful discourse with Civics Academy facilitators? Disrespectful treatment of City officials or other City employees will not be tolerated.

Yes