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
Email address *
Requesters' Name: (Name of Presenter or Affiliated Organization) *
Your answer
Requested Youth Commission meeting date: Agenda items need to be submitted at least a full week prior to the meeting date. *
Your answer
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): *
Your answer
Requested Action by Youth Commission (e.g. research, advising of elected officials, letter of support, participation, etc): *
Your answer
List if any media involved in presentation and any needs (PowerPoint, Projector, Laptop,Access to Internet, Other…)
Your answer
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 placercoyouthcommission@gmail.com to confirm that your agenda request was received.
A copy of your responses will be emailed to the address you provided.
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