Public Works Citizen Academy

Public Works Citizen Academy

Registration Form
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
I am at least 18 years of age and a Suffolk resident
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred method of contact*
Please explain why you want to participate in the Public Works Citizen Academy
Do any of your family and/or friends plan to attend the academy with you? If so, how many?
A Friend or colleaugeFacebookNextdoorNews ArticleOther
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