Assemblymember Diane Dixon's Young Legislator Program Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Young Legislator Program will take place on the dates and times listed below. The ideal applicant is a high school student with an interest in government, law, public policy and leadership.

Monday, July 20: 11 AM - 1 PM (District Office)

Tuesday, July 21: 11 AM - 1 PM (Offsite)

Wednesday, July 22: 11 AM - 1 PM (Offsite)

Thursday, July 23: 11 AM - 1 PM (Offsite)

Friday, July 24: 11 AM - 2 PM (Offsite)

Meetings will take place at the District Office located in Newport Beach and at sites around Orange County.

This program is filled with tours of key facilities in Orange County and education on how law is made in California. Meals will be provided at each session.

This application is due by Friday July 10th

Name *

Email *

What school do you attend? *

How old are you? *

What is the most important issue facing our community today? *

What are your future academic or career goals? *

What is one law you would like to create or remove in California? *

Are you unable to attend any of the sessions? Timings and locations are listed above. *

I cannot attend on Monday, July 20.

I cannot attend on Tuesday, July 21.

I cannot attend on Wednesday, July 22.

I cannot attend on Thursday, July 23.

I cannot attend on Friday, July 24.

I can attend all sessions.

Do you have reliable transportation to attend all sessions? *

Yes

Do you have any dietary restrictions?

Anything else you'd like us to know?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms