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2. Name*
3. Email Address*
5. Address*
7. City*
8. Province*
9. Postal Code
11. Phone Number*
12. Cell/Alternative Number
14. First Name
15. Last Name
17. I the above, hereby request consideration for appointment to one of the town councils boards or committees as indicated in order of preference:
19. Preference 1*
    -- Select One --Subdivision and Development Appeal BoardMunicipal Planning CommissionNaming Advisory CommitteeSlave Lake Regional Library BoardCouncil Compensation CommitteeRegional Housing AuthorityWildfire Legacy Corporation
20. Preference 2
    -- Select One --Subdivision & Development Appeal BoardMunicipal Planning Commission (MPC)Naming Advisory CommitteeSlave Lake Regional Library BoardCouncil Compensation CommitteeRegional Housing AuthorityWildfire Legacy Corporation
22. To ensure council makes the best informed decision on your selection as a board member or committee member please fill out the following information.
24. Employer and type of business experience in the last 5 years:
26. Involvement in Community Activities in the last 5 years:
28. Reason for seeking appointment:
30. Experience related to board preference:
32. Public Information
    if appointed your first name and last name along with the board you've been appointed top, will appear in the council meeting minutes. All other information collected in this form will be for internal use only.
34. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
36. Electronic Signature*
37. Date of Signature*
    Date of Signature
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field