PCYC Meeting Agenda Request Form
Bring an issue to our attention by requesting to be on our agenda. It is only by hearing from you –
the community – that we can meet our goals to:
Serve as a recognized community forum to discuss youth related concerns, solutions, and ideas
Advise the Placer County Board of Supervisors and other local policy makers on youth related issues
Represent and raise the profile of Placer County Youth
Create positive change in the community and for its youth
Requesters' Name: (Name of Presenter or Affiliated Organization)
Requested Youth Commission meeting date: Agenda items need to be submitted at least a full week prior to the meeting date.
Description of item (e.g. “Presentation and request for help on bullying prevention efforts inthe “QRS” schools and neighborhoods” “Promoting green living by reducing plastic use):
Requested Action by Youth Commission (e.g. research, advising of elected officials, letter of support, participation, etc):
List if any media involved in presentation and any needs (PowerPoint, Projector, Laptop,Access to Internet, Other…)
Thank you for submitting an agenda request. Your voice matters to us and will help the Youth Commission address issues in the community.
Please send an email to
to confirm that your agenda request was received.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service