Las Positas College Student Government (LPCSG) Agenda Request Form
Name of Speaker *
Your answer
Name of Department or Business/Organization Entity *
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Contact Information (Email) *
Your answer
Contact Information (Phone #) *
Your answer
Which LPCSG meeting date would you like to present at *
Prospective time slot requested (time and amount of minutes)
Your answer
Agenda Item Title *
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Agenda Item Description *
Your answer
Are you requesting that the LPCSG take action (vote on approval/denial/amendment/recommendation etc.) on this agenda item? *
If ‘Yes’ to taking action, what would you like us to take action upon?
Your answer
Please feel free to write down any other questions, comments, or concerns you may have
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