Boards and Committees Application Form - Prince Edward County Municipal Services

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Home / Boards and Committees Application Form

Boards and Committees Application Form September - October 2024

To which committee are you applying?*
- Accessibility Advisory Committee (Adult + Youth)
- Agricultural Advisory Committee (Youth)
- Built & Cultural Heritage Advisory Committee (Adult + Youth)
- Environmental Advisory Committee (Adult + Youth)
- Traffic Advisory Committee (Youth)
- Ward Recreation Committee
Which Ward Recreation Committee do you wish to apply to?
- Ameliasburgh
- Athol
- Bloomfield/Hallowell
- Hillier
- North Marysburgh
- Picton
- Sophiasburgh
- South Marysburgh
- Wellington
***For those applying to youth vacancies, please confirm you are between the ages of 16 to 25 years old by checking the box below:
- By checking this box, I am attesting that I am between the age of 16 to 25 years old.
Eligibility*
All applicants must meet the following eligibility requirements:
- I am a permanent resident, or a property owner, or a business owner in Prince Edward County
- I am 16 years of age or older
- I am not an employee of the Corporation of the County of Prince Edward
Name*
First and last name
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
What is your availability?*
- Daytime
- Evenings
- Monday to Friday
- Weekends (if required)
If you have previously served on a committee or board in Prince Edward County or in another community, please list the committees/boards and dates of service:
Why would you like to serve on the committee identified above?*
What makes you qualified to serve on this committee? Provide information on any skills/knowledge/experience you have.*
Being a member on a committee/board will be a rewarding and challenging opportunity. Describe a time when you helped others understand your perspective.*
Optional: You are strongly encouraged to attach any relevant additional materials (Resume, cover letter, etc)
Max. file size: 128 MB.
Signature*
- I understand that Committee/Board meetings may be livestreamed and recorded on the County's YouTube Channel, and consent to such.
- I understand that the personal information being collected will be used in accordance with The Municipal Act and The Municipal Freedom of Information and Protection of Privacy Act and shall only be used in the selection for appointment of membership.
- By checking this box, I am attesting that the information provided in this application is true and correct as of the date.
Name*
Date*
MM slash DD slash YYYY

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