Form Center

2. Name*
3. Email Address*
5. Address*
7. City*
8. Province*
9. Postal Code*
11. Phone Number*
12. Cell/ Alternative Number*
14. Are you a resident of the Town of Slave Lake?

    1. Yes
    2. No

    Must be a resident for six consecutive months immediately preceding the date of the advertisement for receipt of applications.

15. Are you 18 years of age or older?

    1. Yes
    2. No
17. RCMP Criminal Record Check*

    1. Yes
    2. No
19. You are required to pass an enchance security (criminal) record check

    Please provide the document in the attached document section and/or have one in order to proceed in the application process.

20. Enhanced security check documents:

    Required information for the security (criminal) record check.

22. You must take an oath as set out in Schedule 2 of the Police Act (Alberta)

    For more information, please view the following document: https://www.slavelake.ca/2342/Municipal-Policing-Committee.

24. Not to be hired in any capacity with the Town of Slave Lake RCMP, any Provincial or Municipal Police Service, Alberta Justice or Alberta Public Safety and Emergency Services.

26. To ensure council makes the best informed decision on your selection as a board member or committee member please fill out the following information.

28. Employer and type of business experience in the last 5 years:
30. Involvement in Community Activities in the last 5 years:
32. Reason for seeking appointment:
34. Experience related to board/committee preference:
36. 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.

38. 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.
40. Electronic Signature*
41. Date of Signature*
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field