Union County Youth Service Commission Monthly Presentation Request Form

Union County Youth Service Commission Monthly Presentation Request Form

Union County Youth Service Commission - You will be contacted to confirm the date of your presentation. Please email us your brochures, flyers or any other information pertaining to your program. NOTE:Union County Youth Services Commission meetings take place on the first Tuesday of each month at 3:30pm, unless otherwise noted. We look forward to your participation in making this a productive year!
Name of Agency*
Name of Program*
Synopsis of Program*
Name of Presenters: *
Phone Number*
E-mail Address*
Please indicate your first, second, and third choice of dates to present.
First Date*

MonthDayYear
Date
Second Date*

MonthDayYear
Date
Third Date*

MonthDayYear
Date
Comments
Should be Empty:

Please indicate your first, second, and third choice of dates to present.