Government 101 Application

First name (required):

Last name (required):

Home address (required):

Home phone number (required):

Email address (required):

Do you live or work within the corporate limits of Hillsborough (required)? No Yes

Are you a customer of Hillsborough's water system (required)? No Yes

Briefly tell us what you hope to learn as a participant (required):

Are there particular appointed boards, issues or departments you are interested in learning about?

Do you need any special accommodations or have any dietary restrictions (required)? No Yes

If yes, please provide additional information so that we can best accommodate you:

Emergency contact

Please provide information regarding an emergency contact:

First name (required):

Last name (required):

Home address (required):

Home phone number (required):

Cell phone number (required):

Additional information

Sessions are:

• 6 to 8:30 p.m. Thursday, Sept. 14
• 6:30 to 8 p.m. Thursday, Sept. 21
• 6:30 to 8:30 p.m. Thursdays, Sept. 28, Oct. 5, Oct. 12, Oct. 19 and Oct. 23
• 8:15 a.m. to noon Saturday, Sept. 30

Please identify any Government 101 sessions you know you are unable to attend:

How did you hear about this program (required)?

Would you like to subscribe to any of the following email lists from the Town of Hillsborough?

• News
• Meeting notices
• Bid postings
• All of the above