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MiCivics Coalition Registration

This registration form is to indicate your interest in joining a pivotal group of civic leaders who will work in coalition to advance civic knowledge and empowered civic communities for a healthy civic society.

The goal of the initial meeting is to:

Start the first of many conversations about the state of civic education for the state of Michigan
Create/cultivate a coalition of next generation civic education champions in the state of Michigan.
Create a space for transparent dialog for civic education needs in the state of Michigan
Identify challenges, affordances, and strategies for building more robust civic education in the state.
Set a collective agenda for strengthening civic education and engagement in K-12 settings and their communities.

Participant Information

Name

Prefix

First Name

Last Name

Suffix

Title / Role

Organization / Affiliation

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Verify Email

Phone

The phone provided is a:

Cell / Mobile

Landline

Civility Pledge

We call upon all who participate in this event to promote understanding and civil behavior and to hold themselves to high standards that reflect a commitment to respect perspectives that may be different from their own. Only by respecting individuals with diverse perspectives and ideas can we build an environment of civility that is conducive to advancing knowledge and transforming lives.

Yes. I support and will adhere to this statement.

No. I am not interested in joining the coalition building event.

Civility Pledge Copy

Yes. I support and will adhere to this statement.

No. I am not interested in joining the coalition building event.

MiCivics Coalition Registration

Participant Information

Thank you.

Professionalism and Civility