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Committee or Board Appointment Application

Full Name:

Phone Number:

Address:

Postal Code:

Email:

Name of Board or Committee being applied for (Please Note: Library Board applicants must be Canadian Citizens):

Please state your reason for volunteering for this Board/Committee:

Experience (if any) relating to Board/Committee being applied for:

Educational Background:

You may attach a copy of your resume here:

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Allowed extensions pdf, doc, docx, jpg, jpeg

I am available to attend meetings during the:

Day or Evening

Day Only

Evening Only

Date:

Signature:

Clear

If you require further information, please contact the Clerk's Division:

(519) 941-0440 ext. 2256, or email, clerksdept@orangeville.ca

Personal information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, and will be used to evaluate the qualifications for citizen appointees to the Town of Orangeville Boards/Committees. Questions about this collection should be directed to the Clerk, Town of Orangeville.

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Committee or Board Appointment Application

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Committee or Board Appointment Application

Stay Connected with Orangeville

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