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2. 

4. It is important to plan to attend all eight weeks as resources are prepared and reserved for program participants. Your commitment and weekly attendance to the program is very appreciated as it offers the greatest experience and connections for all invested in the program and provides the best program results. Please apply if you can attend on all dates. 

   The 2023 program schedule dates are as follows:

   • Week 1: Wednesday, March 29, 5:30 – 7:30 p.m.
   • Week 2: Wednesday, April 5, 5:30 – 7:30 p.m.
   • Week 3: Wednesday, April 12, 5:30 – 7:30 p.m.
   • Week 4: Wednesday, April 19, 5:30 – 7:30 p.m.
   • Week 5: Wednesday, April 26, 5:30 – 7:30 p.m.
   • Week 6: Wednesday, May 3, 5:30 – 7:30 p.m.
   • Week 7: Wednesday, May 10, 5:30 – 7:30 p.m.
   • Week 8: City Council Meeting Tuesday, May 16, 6 – 8 p.m.

   Engage Brea is a eight-week program hosted by the City, in partnership with California State University, Fullerton Professor Scott Spitzer, Ph.D., Associate Professor of Political Science.

   This unique opportunity provides participants a general overview of City operations, departments, and external agencies that affect our community. This program will offer one-on-one experiences with City staff, local elected officials, and academic leadership to promote community engagement and offer beneficial skills and knowledge to address community issues and work together for the enhancement of our community.

   All members of Brea's community, 16 years or older, are invited to participate. We welcome all segments of the community to participate, including those with varied educational and cultural backgrounds, and future leaders interested in local government participation. The program is not restricted to Brea residents. However, Brea residents will be given a pre-registration opportunity through February 19, 2023.

   Please answer all questions and fill out the application completely, including the Waiver and Release of Liability and Assumption of Risk. Applications must be thoroughly completed and submitted online. 

6. Last Name*
7. First Name*
9. Address1*
10. Primary Phone Number
12. City*
13. State*
14. Zip*
16. Primary E-mail*
17. Emergency Contact/Phone
19. In a few sentences, please explain why you're interested in attending this program? *
21. What are a few topics you hope to learn more about?*
23. What questions would you like to be addressed during the course?*
25. If not previously mentioned in the above questions, what do you feel are the two most pressing issues facing the City of Brea?*
27. Do you own a business in Brea? If yes, please provide the business(es) name, address, and brief description. *
29. Briefly state your current and past professional/occupational experience. *
31. Please list any community involvement, community services, or professional organizations you have been a part of.*
33. By clicking here, I am requested printed program materials, otherwise your program materials will be electronically distributed.

    1. I want to receive printed program material
37. PLEASE COMPLETELY FILL OUT, SIGN, AND SUBMIT THE APPLICATION.

    Participants will be required to sign a copy of the application and Waiver and Release of Liability and Assumption of Risk on the first day of the program before it begins.

    Applications will be accepted until March 20, 2023, or all seats are reserved. 

39. COVID-19 Adult Waiver
    COVID-19 Adult Waiver
40. COVID-19 Minor Waiver
    COVID-19 Minor Waiver
42. By clicking here, I agree to this agreement and the Waiver and Release of Liability and Assumption of Risk*

    1. I agree
44. Sign: Print Name to Acknowledge and Agree to this Application and Waiver and Release of Liability and Assumption of Risk*
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit Submit and Print

* indicates a required field