Registration

Complete this form to register for the Governor’s Civic Engagement Award (GCEA) program for the upcoming school year. The PA Department of State will send you periodic information and updates about the award program, helpful resources, and upcoming elections.

In the spring, applications for specific awards will be available at www.vote.pa.gov/GCEA.

Required fields are marked with an asterisk(*).

School Name

County

County 2

County 3

Teacher/Advisor First Name

Teacher/Advisor Last Name

E-mail

Phone (XXX-XXX-XXXX)

Alternate School Contact

E-mail

Phone (XXX-XXX-XXXX)

How did you hear about the Governor's Civic Engagement Award?

If other, please specify

Generate a new image Play the audio code

Enter the code from the image

Pennsylvania Governor’s Civic Engagement Award Registration

Registration