National Civic Engagement Honor Society Application – ENGAGE

Describe one of your community service or civic engagement experiences and the impact it had on you.(Required)

Why is an informed and engaged citizen important for the success of our democratic republic?(Required)

I plan to vote when I am eligible.(Required)

Yes

No

Unsure

I plan to volunteer in my community as an adult.(Required)

Yes

No

Unsure

I certify that I have met the qualifications for the Georgia Civic Engagement diploma seal as outlined by the Georgia Department of Education.(Required)

Yes

Private/Home School (Required)

Price: $30.00

Public School (Required)

Price: $25.00

Subtotal

Name(Required)

First Last

Email(Required)

School Name(Required)

Gender(Required)

Race/Ethnicity(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address

Same as billing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

Payment Method(Required)

Credit Card (4% fee)

Check (Made out to Georgia Center for Civic Engagement and mailed to PO Box 3789, Cartersville GA 30120)

Credit Card