Perris Citizens Academy Interest Form

Perris Citizens Academy Interest Form
Applications for the Perris Citizens Academy are now closed, as we have reached the maximum capacity.

The City of Perris is now forming an interest list for the Perris Citizens Academy!

Participants must be at least 18 years of age and reside in the City of Perris.

For any questions regarding the Perris Citizens Academy, please contact the Public Services Department at publicservices@cityofperris.org.
The Perris Citizens Academy is designed to educate and inform community members about local government operations, department functions, and city leadership.

The 5-week program consists of 1 session per week, 5 sessions total. Following the schedule below:
- Thursday, April 2, 2026: 6:00pm - 8:00pm
  - Session 1: At the Center of it All
- Thursday, April 9, 2026: 6:00pm - 8:00pm
  - Session 2: A Growing Thriving Perris
- Thursday, April 16, 2026: 6:00pm - 8:00pm
  - Session 3: Protecting Today, Preparing for Tomorrow
- Thursday, April 23, 2026: 4:00pm - 6:30pm
  - Session 4: Building Community Through Connection
- Tuesday, April 28, 2026: 4:00pm - 7:00pm
  - Session 5: Civic Engagement - followed by a city walking tour, certificate of completion, and City Council recognition.
Participants must attend all five (5) sessions in order to receive certificate of Academy completion and City Council recognition.

Applicants must be at least 18 years of age and reside in the City of Perris.

For any questions regarding Academy deails or registration, please contact the Public Services Department at publicservices@cityofperris.org.

PERSONAL INFORMATION
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address (Must be a Perris Resident)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Allergies/ Dietary Restrictions*
Please type N/A if not applicable
YesNo
EMERGENCY CONTACT
Name*

First NameLast Name
Relation*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
AGREEMENT AND AUTHORIZATION
Code of Conduct
By signing, you certify and agree to the following:
1. I understand that I must attend all five (5) sessions to receive certificate of Academy completion and City Council recognition.
2. I have read, understood, and agree to the Academy's Code of Conduct.
3. I consent to receive program-related communications.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

Perris Citizens Academy Interest Form

PERSONAL INFORMATION

EMERGENCY CONTACT

AGREEMENT AND AUTHORIZATION