2025 Mayor for a Day Application Form

Mayor for a Day Application Form

Application deadline is Tuesday, October 6th, 2025 at 4:00 p.m.
Applicants must:
- Live in North Grenville.
- Be a student in grades 7 through 12.
- Complete the Mayor for a Day application form.
- Be available to shadow Mayor Nancy Peckford on Monday, October 20th (will include school hours, parent permission required).
Applicant's Full Name*

First NameLast Name
Pronouns
Applicant's School*
Applicant's Grade*
Home Address*

Street Address

Street Address Line 2

CityProvince

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 NameLast Name
Parent /Guardian Email*
example@example.com
Parent /Guardian Phone Number*
Please enter a valid phone number.
I give permission for my child to apply to be Mayor for a Day on October 20, 2025 (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.*

YesNo
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
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 2025 Mayor For a Day!*

If you have any issues uploading your file, please contact thurlbert@northgrenville.on.ca.
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