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Contra Costa County Youth Summit Volunteer Registration - 2015
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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:
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