Skip Navigation

  1. City Departments
  2. City Services
    1. ePermits
    2. City Tax Payments
    3. City User Fee Payments
    4. Parking Ticket Payments
    5. Adjudication Payments
    6. Rental Registration
    7. City Phone Directory
    8. Water / Sewer Payments
    9. Renewal of Dog License Payments
    10. Disability Access
    11. 1 more items...
  3. Our City
    1. Architecture and Landscapes
    2. Arts and Culture
    3. All America City
    4. Buffalo Waterfront
    5. Buffalo My City
    6. Buffalo At Home
    7. Buffalo Convention Center
    8. Buffalo Niagara Convention and Visitors Bureau
    9. Buffalo Sister Cities
    10. Buffalo TV Access Channels
    11. 1 more items...
  4. News and Calendar
    1. Calender of Events
    2. Cars Sharing Main Street
    3. Buffalo Historic Preservation Plan
    4. Scajaquada Corridor Study
    5. Buffalo's Intensive Level Historic Buildings Reconnaissance Survey
    6. Peace Bridge Expansion Project Workshop Schedule
    7. The Queen City in the 21st Century
  5. Online Payments

Home > City Departments > Citizens Services > Office of Citizen Participation and Information > 2009 Citizen Participation Academy Session

2009 Citizen Participation Academy Session


Note: * Participation in the academy is limited to City of Buffalo residents 18 years and older at the start of the academy. Please fill out the application below and click submit.

Personal Information

 Last Name:

 First Name:

 Street Address:

 City:

  State:

   Zip/Post. code:

  Date of Birth:

 mm/dd/yyyy

Council District:

 Email:

 Place of Employment:

Job Title:

Business Address:

Phone:
(Business, Home, Cell)

 (B)  
(H)  
(C)  

Emergency Contact Information

Emergency Contact:

  

Relation:

  

Phone:

   

General Questions

Gender:

Age Range:

Do you own your own business?

Are you a full time resident of Buffalo,NY?

Business Name:

  

 

Do you have any governmental experience?

If yes, please explain?

What would make you a good candidate for the Citizen's Participation Academy?

  

If accepted, how will you use the knowledge you have acquired from the Academy?

  

Is this your first time applying to the Academy?


How did you find out about the Citizen's Participation Academy?

If other, please explain?

Can you commit to attend all of the sessions:

If no, please explain?

 

Additional Comments:

References

Please provide two references below: (Enter information in textbox provided below.)

Reference #1

Name:

  

Street Address:

  

City:

  

State:

  

Zip:

   

Phone:

   

Email:

  

Reference #2

Name:

  

Street Address:

  

City:

  

State:

  

Zip:

   

Phone:

   

Email:

  

Signature
By signing this application, I do hereby agree to attend all scheduled sessions, if accepted into the academy. In the event of an emergency, I will notify the Division of Citizen Services regarding my absence.

The Division of Citizen Services will have all rights to publish any audio, video, or photographs of my participation in the academy.
 
I also understand that my submission of the application does not guarantee my admittance into the academy. Any information that I provide will be kept strictly confidental.

Signature:

 

If you have any questions or concerns, email: cpa@city-buffalo.com