Grenville Detachment Board Application 2025/2026
Please complete the form below to apply for a position on the Grenville Detachment Board Application as a North Grenville Member.
Full Name
First Name
Last Name
Current Address
Street Address
Street Address Line 2
city
Province
Postal / Zip Code
Email Address
example@example.com
The Municipality of North Grenville is committed to advancing equity, diversity, and inclusion in every aspect of its work, including appointments to advisory committees. An increase in diversity can assist in promoting equal opportunities and memberships with a diversity of lived experiences. A more diverse membership will contribute to the work ofeach advisory committee. Each advisory committee shall endeavour to have balanced representation from various equity- and inclusion-seeking groups. Please select all that apply to your identity:
Person with a disability
Francophones
Indigenous
New Canadian/Immigrant
Older adult
Racialized
Rural residents
2SLGBTQIA+
Facing socioeconomic disadvantage
Woman
Minority faith-based and spiritual group member
Have you ever been or are you currently a member of any Municipal Committee(s) or Board(s)?
Yes
No
If YES, please list below:
Please state the reasons for seeking appointment to the Grenville Detachment 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 Grenville Detachment Board position.
Please list your lived experience and knowledge you would bring to the Grenville Detachment 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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By signing this form, I confirm that I am 18 years of age, a Canadian citizen and a resident or the owner or tenant of land in the of the Municipality of North Grenville; and, if selected to be a member of a Committee(s), I agree to abide by the rules of the Committee(s), attend meetings to the best of my ability and understand that absence from meetings, pursuant to the policy or the terms of reference, is grounds for my removal as a member of the Committee.
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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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