District of Elkford Delegation Request Form Submission

District of Elkford Delegation Request Form

Submit this form to request an opportunity to appear as a delegation at a public District of Elkford Committee of the Whole meeting.
Instructions:
Please complete all sections below. Submission of this form does not guarantee approval or placement on the agenda for the requested meeting date. If approved, your delegation may be scheduled for an alternate meeting date.
Name of Organization
Name of Contact Person
Telephone
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Email
example@example.com
Presenter 1 Name and Title
Presenter 2 Name and Title
Presenter 3 Name and Title
Presenter 4 Name and Title
Purpose of the delegation
Are you requesting a decision? If so, provide details.
Requested meeting date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Alternate date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Does your delegation require electronic equipment?
Note:

If you require the use of the District's audiovisual equipment, please provide your presentation materials electronically to the Corporate Officer at info@elkford.ca at least five (5) business days before the meeting.

Alternatively, you may request a Zoom meeting link and present by sharing your screen as a panelist. If attending by Zoom, please keep your microphone and camera turned off until the Chair invites you to begin your presentation.
Important:

Delegation requests are subject to review and approval by the Corporate Officer. The District of Elkford reserves the right to decline delegation requests that relate to legal matters, personnel matters, private property issues, or matters outside the Committee's jurisdiction.
I/We acknowledge that only the above-indicated matter will be discussed during the delegation. I/We recognize that the material submitted through this application will become available to the public as part of the application, review and approval process.
Name (Please print)
Privacy Notice:

This information is collected by the District of Elkford in accordance with Section 124 of the Community Charter and is protected under the Freedom of Information and Protection of Privacy Act. The information will be used to facilitate processing this request to appear as a delegation during a public District of Elkford meeting. Should you have any questions about the collection of this personal information, please contact the Director of Corporate Services at 250-865-4000.
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