Civic Ambassador Interest Form

Thank you for your interest in becoming a Close Up Civic Ambassador. Civic Ambassadors will join a national group of youth leaders to encourage their classmates and peers to be active and engaged citizens in the community.

Please complete the application process below. You will receive an email within two weeks of applying with next steps. If you have any questions, please contact us at alumni@closeup.org.

Name(Required)

Email(Required)

Phone(Required)

School Name(Required)

Grade(Required)

Close Up advisor/teacher at your school (if applicable)

Address(Required)

Who was your Close Up program instructor?

What was the date of your Close Up program (if applicable)?

Please respond to the following essay prompt as a one-minute video or short essay response (minimum of 200 words).
How should young people contribute to their community? What has inspired you to get involved and apply to be a Close Up Civic Ambassador?
If you wish to send in a video essay instead of a written one, please upload below.

Please respond to the following essay prompt (minimum of 200 words).(Required)

Video Upload

Max. file size: 80 MB.

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Civic Ambassador Application

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