Civic Ambassador Interest Form

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Civic Ambassador Interest Form

Thank you for your interest in becoming a Close Up Civic Ambassador. Ambassadors will join a national group of youth leaders to encourage their schools and peers to be active and engaged citizens in the community.

Please complete the form below to receive additional information to complete the application process.

Name(Required)

Email(Required)

Phone(Required)

School Name(Required)

Grade(Required)

Close Up advisor/teacher at your school (if applicable)

Address(Required)