Civic Ambassador Badge Reflection

Congratulations on completing an activity to enhance your civic engagement! In order to earn your Civic Ambassador Badge, please fill out this short reflection form and upload a photo from your activity. If you have any questions or encounter any issues, simply reach out to us at programsupport@closeup.org!

Student Name(Required)

School Name(Required)

Personal Email(Required)

School Email(Required)

Address

Head of School/Principle Name

Head of School Principal Email

Grade Level(Required)

Which civic engagement activity did you complete?(Required)

Write a Blog Post

Conduct a National Election Survey

Conduct a School Community Survey

Conduct a Community Inventory

Write a Letter to a Public Official

Design Your Own Civic Engagement Activity

Please choose one of the following prompts and answer below.

• Describe the civic engagement activity you completed. What issue or community need motivated you to take action, and what did you hope to accomplish?
• What did you learn about yourself through this experience? How did it shape or deepen your understanding of the issue or the people affected by it?
• What would you do differently next time? What is one concrete step you could take next to build on this experience or expand your impact?

Please upload a photo from your activity.

Accepted file types: jpg, jpeg, png, gif.