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.
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)?
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.)
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
(970) 498-7150, email@example.com