Youth @ City Council
a civic engagement program
Due November 30, 2012
5299 Auburn Blvd.
Sacramento, CA 95841
Fax (916) 576-3306
Student Name: Age: Grade: 9 10 11 12Email Address: High School:Phone Number: ( ) - District Number: 1 2 3 4 5 6 7 8 n/aHome Address: City & Zip Code:Parent Name: Emergency Phone Number: ( ) -
PROGRAM OVERVIEW AND STATEMENT OF UNDERSTANDING
Youth @ City Council is a 12-month program that meets
every other Thursday from 5:00pm to 6:30pm
at City Hall.During these class sessions, students will hear from guest speakers, learn about public policy and civic engagement, andparticipate in conducting research and solution making. In addition, students are required to attend
one City Councilmeeting per month, which occurs every Tuesday from 5:00pm to 8:00pm
. Students will have to make their owntransportation arrangements to and from City Hall. The program start date will be announced after interviews areconducted.I understand that:
Youth @ City Council is a premier and selective civic education program;
I am expected to fulfill the time commitment outlined above and provide my own transportation; and
I am expected to be respectful to others and prepared to learn about ways to improve my community and city.
Signature: ______________________________________ Date:______________________
Describe an issue in your neighborhood or community that you are passionate about fixing or changing.Describe your ideas to address that issue.