Mayor for a Day Application Form
Application deadline is October 9th at 4:00 p.m.
Applicants must:
Live in North Grenville.
Be a student in grades 9 through 12.
Complete the Mayor for a Day application form.
Be available to shadow Mayor Nancy Peckford on Wednesday, October 16th (will include school hours, parent permission required).
Applicant's Full Name
*
First Name
Last Name
Pronouns
Applicant's School
*
Please Select
North Grenville District High School
St. Michael Catholic High School
Ecole Secondaire Publique Riviere Rideau
Académie Catholique Notre-Dame
Home School
Out of Town School
Applicant's Grade
*
Please Select
9
10
11
12
Home Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Applicant Email
*
example@example.com
Applicant Phone Number
*
Please enter a valid phone number.
What do you love about North Grenville? What do you think could improve our community? What would you like to learn about Municipal Government? Do you have additional comments or questions?
*
0/1000
Outside of school, what are your hobbies or interests?
*
If you are awarded a prize, name two local businesses you might like a gift card from:
*
Parent/Guardian's Full Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
I give permission for my child to apply to be Mayor for a Day on October 16, 2024 (or an alternative date, if necessary, as determined by Mayor Nancy Peckford); and to have their photo taken and shared along with their name, school, and grade with media and on Municipal communication channels.
*
Yes
No
*
Date
*
-
Month
-
Day
Year
Date
Successful political leaders often share a number of personal traits. They are articulate, charismatic, authentic, and persuasive. Submit a video introduction of yourself telling us why you should be selected as the 2024 Mayor For a Day!
*
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