2026 Hickory 101 Registration

Hickory 101 Program

Application for Hickory 101 Program: Thursdays, Oct. 1-29, 2026
Name
Address
Email
example@example.com
Phone
Format: (000) 000-0000.
Occupation
How long have you lived in the City of Hickory?
Please list your membership(s) in any non governmental organizations
Briefly state why you are interested and wish to participate in the Hickory 101 program.
Have you had any prior experience in city government, such as serving on a board or commission?
If Yes, explain
Please accept my application to become a candidate of the Neighborhood College program.
Signature
Signature Date

MonthDayYear
Date
The City of Hickory does not discriminate on the basis of age, sex, race, religion, national origin, or handicapping conditions. Should special accommodations be necessary in order for an individual with a disability to participate in this program, please call Sarah Killian at 828-261-2290.

Voluntary Survey: Please check the relevant data that applies to you. Your filling out this section will help to ensure our goal to have diverse representation in the program.
Sex
Ethnicity
Age
Should be Empty:

Hickory 101 Program