Larimer County Mountain pass in Summer
 

Application For Larimer County 101 - A Journey Through Larimer County Services 2016



Submit this application electronically
or
Print & mail a completed application to:
LC101 - Commissioners Office
ATTN: Michelle Bird
P.O. Box 1190
Fort Collins CO 80522

Application Deadline is: Wednesday, March 4, 2016; classes fill up, so get your app in soon! You will be notified about participation in March. We strive for a geographical balance of residents from throughout Larimer County.


Leave this field empty

Name:  

Mailing address including zip code:

Phone:  (H)     (W)     (Cell)  

Do you live outside a city/town limits? (In the unincorporated area of Larimer County?).
No
Yes - Where:

Email:  

How long have you lived in Larimer County?  

Occupation, Employer, Retired?, etc.:

How did you hear about this class?

Have you gone through similar classes?  Yes:  No:    If so, which one(s)? (County/City/Town/Law Enforcement?)

Are you currently, or have you previously, served on a Larimer County Board or Commission?
Current Board/Commission:

Former Board/Commission:

Do you regularly attend any of the monthly Commissioner citizen meetings? If so which one(s)? (list all)

Why do you want to participate in Larimer County 101?

In your opinion, what are the 3 most important issues facing Larimer County today?


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

Thursday, March 24, 2016, 6-9 p.m. Yes  No 
Thursday, March 31, 2016, 6-9 p.m. Yes  No 
Thursday, April 7, 2016, 6-9 p.m. Yes  No 
Thursday, April 14, 2016, 6-9 p.m. Yes  No 
Thursday, April 21, 2016, 6-9 p.m. Yes  No 
Thursday, April 28, 2016, 6-9 p.m. Yes  No 
Thursday, May 5, 2016, 6-9 p.m. Yes  No 
Thursday, May 12, 2016, 6-9 p.m. Yes  No 
Thursday, May 19, 2016, 6-9 p.m. Yes  No 

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

If you have questions or require more information, please contact: Michelle Bird, 970-498-7015, mbird@larimer.org, or the Commissioners' Office, 970-498-7010.



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