Advisory Committee & Local Board Application Form

Mayor’s Youth Advisory Committee Application Form

Please complete the form below to apply.
Full Name

First NameLast Name
Current Address

Street Address

Street Address Line 2

cityProvince

Postal / Zip Code
Email Address
example@example.com
How did you hear about this awesome advisory committee?
Have you ever been or are you currently a member of any Municipal Committee(s) or Board(s)?

YesNo
If YES, please list below:
Please state the reasons for seeking appointment to the Committee or Board and any other information you feel may be helpful in considering your application.
Please list the skills, qualifications, and knowledge you would bring to the Committee or Board position.
Please list prior or current community involvement or experience with the Municipality: (past experience is not a pre-requisite for appointment)
Please attach any additional information such as a resume or reference letter which would assist in considering your application.

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Need assistance?

If you would require assistance to complete this form or would like more information, please contact the Deputy Clerk at 613-258-9569 ext. 171.
Disclaimer

Personal information, as defined by Section 2(i) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA. Personal information on this form will be used to assess the candidate’s qualifications for appointment to the Municipality’s various committees or boards. Personal information may form part of meeting agendas and minutes, and therefore may be made available to members of the public at the meetings, through requests, and through the Municipal website. Questions regarding the collection, use, and disclosure of this personal information may be directed to the Clerk’s Office at the address listed above.
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Mayor’s Youth Advisory Committee Application Form

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