Application for Civic Trusteeship HomeApplication for Civic Trusteeship What is your name?* First Last What is the best phone number to reach you during weekday business hours?What is the best email address to reach you?* What is your home address? Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Which Civic Trust are you applying to?* Newark, NJ Paterson, NJ Perth Amboy, NJ Plainfield, NJ Trenton, NJ Philadelphia, PA Houston, TX Bakersfield, CA None of these If your City is not listed above, would you be interested in joining an online Trust? Yes! No Why do you want to join the Civic Trust in the community you chose?* I live here I work here I go/went to school here I grew up here Please indicate which issue area(s) you are most interested in:*Pick up to 3 Education Public Safety Economic Development Government Efficiency & Waste Cutting Environment Citizen Empowerment Other Are you on social media? Tell us your profiles and handles (if any) below. Tell us a little about yourself.What leadership experience do you have? Are you involved in your community? What made you want to join a Civic Trust?By clicking on the box below, you pledge to leave your community better than you found it by:*1) Searching for solutions instead of simply pointing out problems 2) Working on solutions that are "doable" -- that are cost effective and based on evidence of success 3) Pursuing the adoption of solutions with a No-Blame approach. Click here to sign the pledge CommentsThis field is for validation purposes and should be left unchanged.