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SCCY Interest Form
Thank you for your interest in the Sacramento County Coalition for Youth! We are happy to connect with you and provide you additional information on our meetings, committees and current prevention projects. Please complete this form to tell us how you’d like to participate in the coalition. You will also be notified when new SCCY meetings are scheduled and related documents are posted.
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First Name
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Your answer
Last Name
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Your answer
Agency/Organization
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Your answer
Email Address
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Your answer
Please check the skills, expertise and experience you can contribute.
AOD Service Provider
Data/Research
Law Enforcement
Primary Health Provider
Communication
Education
Legal
Social Media/Marketing
Community-Based Service Provider
Facilitation
Policy
Training
Youth Perspective
Which prevention areas interest you most?
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Laws and Policies
Youth Alcohol Access
Media Messages
Youth Development
Social Norms
Which community areas are you interested in serving?
Your answer
Phone Number
Your answer
Mailing Address
Your answer
City
Your answer
Zip
Your answer
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