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2. 2026 NMB Citizen’s Academy Application

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Mailing Address (if different)
15. City
16. State
17. Zip Code
19. Phone Number*
20. Email Address*
22. Valid/Current Drivers License or SC ID*
    -- Select One --YesNo
23. State*
25. Driver's License Number or SC ID Number*
27. Generally, what do you hope to get out of the NMB Citizen’s Academy?*
29. Upload Hold Harmless Agreement form here
31. Hold Harmless Agreement
    Hold Harmless Agreement Fillable

33. The Hold Harmless Agreement can be uploaded when completing the application or it can be brought to the first meeting.

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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field