Amarillo 101 Application Form:

The mission of Amarillo 101 program is to familiarize citizens with the structure, function and purpose of Amarillo's city government. and to equip and encourage citizens to assume a leadership role within the community. Applicants must live or work in Amarillo.

 

 
* Full Name:
* Date of Birth:
Month Day Year *
Gender:
Male Female
Years Living or Working in Amarillo:
* Home Address:
* Zip Code:
* County:
   
Home Phone:
* Email:
* Work/Cell Phone:
Fax:
* Employer:
* Occupation/Title:
Please list any community, professional or other organization in which you have been an active member. If new to Amarillo, you may include activities from your previous location.
Organization#1:
Organization:
Years of Involvement:
Position Held:
Organization#2:
Organization:
Years of Involvement:
Position Held:
Organization#3:
Organization:
Years of Involvement:
Position Held:
Organization#4:
Organization:
Years of Involvement:
Position Held:
Organization#5:
Organization:
Years of Involvement:
Position Held:
* What do you hope to learn from taking the course and how do you anticipate using it?
* Please Verify:
I am able to commit to attending the sessions
I am not currently holding or running for elected office in any City, State, or Federal election.
I allow the use of photographs
By checking this box, I authorize the City to release information provided on this application to the public. (If you do not check the box, the City will not release information that is protected under the Texas Public Information Act.)

Please submit this application by Wednesday, Feb. 12. Applicants will be notified by Friday, February 28.

City of Amarillo, Office of the City Manager
P.O. Box 1971
Amarillo, TX 79105-1971
or fax to 806.378.9394

* = Required Field  
 
If wanting to submit in person click here for the printable form.