Help Me Find
Select a Category
Affirmative Action Office
Affirmative Action/Equal Employment Opportunity Office
Agriculture / Weights & Measures
Arts & Culture Commission
Auditor - Controller
Child Support Services
Contra Costa County Airports
County Administrator's Office
Department of Conservation and Development
District II Supervisor Candace Andersen
District l Supervisor John M. Gioia
District lll Supervisor Mary N. Piepho
District lV Supervisor Karen Mitchoff
District V Supervisor Federal D. Glover
Dr. Martin Luther King, Jr., Humanitarian of the Year Awards
Flood Control District
Office of Communications and Media
Treasurer - Tax Collector
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Contra Costa County Youth Summit Volunteer Registration - 2015
This form has been modified since it was saved. Please review all fields before submitting.
If you would like to participate in Supervisor Federal D. Glover's May 9, 2015, Contra Costa County Youth Summit at Pittsburg High School 1750 Harbor Street, Pittsburg, CA 94565 from 8:00 a.m. - 4:00p.m. please provide the following information.
Cell Phone Number:
Office Phone Number:
Please list all Social Media profiles
How would you like to be involved with the youth summit? Please check all that apply.
Lunch Time Activities
Donation/ Raffle Item
Name of proposed workshop or type of entertainment:
Give a brief description of workshop/entertainment
Upload additional files if available:
If applicable provide link to information:
What is the necessary duration for your workshop?
1 workshop (45 minutes)
2 combined workshops (1hour 30 min)
What is the duration of your performance?
-- Select One --
What is the attendance limitation for your workshop:
-- Select One --
What do you need provided to perform your service/workshop?
No assistance necessary
Information table for lunchtime
Has there been participation in one of Supervisor Glover's Youth Summits in the past?
No Prior Participation
If applicable what was the prior workshop name/type of entertainment/topic of speech:
Suggestions for future events:
If you know or any organizations who may be interested please list below. (Name of Organization, Contact Person, Contact Information)
Leave This Blank:
* indicates a required field
Board of Supervisors
Request Public Record
ARRA Stimulus Funding
Frequently Asked Questions