Loveland Bike Trail
 

Application For Larimer County 101 - Journey Through Larimer County Services 2014

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Name:  

Mailing address including zip code:

If you live outside a City/Town limits then please tell me where you live such as in 'northern Larimer County' or 'in the mountains west of Loveland', etc.

Phone  (H)     (W)     Email:  

Length of Residence in Larimer County:  

Occupation, Employer, Retired?, etc.:

Have you ever been convicted of a Felony?

How did you hear about this class?

Have you taken other introduction to County/City/Town government classes? Yes:      No:  
If so, which one(s)?

Are you currently or have you served on a Larimer County Board or Commission? Do you regularly attend a monthly Commissioner citizen meeting? If so which one(s)?
Current Bd./Commission:

Former Bd./Commission:

Monthly Citizen Mtgs. I usually attend (list all):

Why do you want to participate in Larimer County 101?

Briefly, in your opinion what are the 3-5 most important issues facing Larimer County?

Are you available to attend all nine (9) Larimer County 101 events / classes located in and around
the Fort Collins area? (Please indicate below.)

Thursday, March 27, 2014, 6-9 p.m. Yes  No 
Thursday, April 3, 2014, 6-9 p.m. Yes  No 
Thursday, April 10, 2014, 6-9 p.m. Yes  No 
Thursday, April 17, 2014, 6-9 p.m. Yes  No 
Thursday, April 24, 2014, 6-9 p.m. Yes  No 
Thursday, May 1, 2014, 6-9 p.m. Yes  No 
Thursday, May 8, 2014, 6-9 p.m. Yes  No 
Thursday, May 15, 2014, 6-9 p.m. Yes  No 
Thursday, May 22, 2014, 6-9 p.m. Yes  No 

Do you have transportation available for attending these events /classes located in and
around the Fort Collins area?
   Yes   No

If you have questions or require more information, please contact:
Other Dates Contact: Deni La Rue, Larimer County Community Information Manager
Commissioners' Office
(970) 498-7150, dlarue@larimer.org

If you want to print out and mail:

Mailing Address:
LC101-Commissioners Office, ATTN: Michelle Bird
P.O. Box 1190
Fort Collins, CO, 80522


Background Image: Loveland Bike Trail by Sharon Veit. All rights reserved.