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2. The Civic Creator Cohort is a four-week series of presentations and conversation about Norfolk’s civic life among a diverse cohort of 15 to 25 civic creators who are advocating, educating, computer coding, picking up litter, gardening and generally making Norfolk better. We ask for a 4-week commitment. For more information, visit www.norfolk.gov/civiccreators.
6. First Name*
7. Last Name*
9. Address1
11. City
12. State
13. Zip
15. Email address*
16. Best phone number
18. Neighborhood (of residence, business, or org)*
19. Occupation
21. Introduction. Tell us and your fellow participants a little something about yourself.*

    Feel free to share whatever you want others to know about you in 500 characters or less.  It could be where you're from, family, military service, favorite restaurant, hobbies or special accomplishment.  Whatever is important to you.

23. How are you currently involved in Norfolk's civic and community life?*
25. How do you plan to use the information from this course?*
27. On a scale of 1 (apathetic) to 10 (madly in love), how lovable do you consider Norfolk?*
29. If you could learn more about three topics from city government, what would they be?
31. I can commit to all four sessions in the schedule (or arrange a substitute).*

    1. Yes
    2. No
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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