AAC-Advisory-Committee-Application-Form

Required fields are marked with asterisks (*)

10 Wellington Street, Alliston, ON, L9R 1A1 Tel: (705) 435-3900
Website: www.newtecumseth.ca

Citizen Member Application Form - Accessibility Advisory Committee

Please complete and submit this form for consideration by Council to be appointed to the Accessibility Advisory Committee. Applicants are encouraged to submit a resume or letter of interest along with their application. There will be an opportunity to upload files within the form.

A majority of the members shall be persons with a disability. Other members may be persons involved with persons with a disability. Please indicate your eligibility to serve on the Accessibility Advisory Committee:

Person with a disability

Person involved with person(s) with a disability

Full Name:

Address

Phone Number (s)

E-Mail

Narrative Statement: Why would you like to serve as a citizen member on the Accessibility Advisory Committee?

Community Activities: Please list any memberships you may have in community, social, civic, or other organizations you want to be considered by Council.

Professional / Educational Experience: Please list any business, professional, educational or general experience you may want Council to consider.

Supporting Documentation: You are invited to submit your resume or other supporting documents by uploading a file.

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Personal Information Collection Notice

Personal Information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, Chapter M.56, as amendedy and will be used for the purpose of determining eligibility to participate on Town of New Tecumseth’s boards and committees. Information on this form will be disclosed to the Council for candidate selection purposes only. If you require further information please contact the Town at (705) 435-3900

10 Wellington Street, Alliston, ON, L9R 1A1 Tel: (705) 435-3900 Website: www.newtecumseth.ca

10 Wellington Street, Alliston, ON, L9R 1A1 Tel: (705) 435-3900
Website: www.newtecumseth.ca