Required fields are marked with asterisks (*)

Committee and Board Application

First Name

Last Name:

Are you an Alnwick/Haldimand resident/ rate payer?

Yes

Address:

Postal Code

Phone:

Email:

Name of Committee/Board Applying for:

Reason for applying:

Past Experience / Relevant Qualifications:

Please attach a resume

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Collection of personal information

Personal information on this form is collected in accordance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990 c.M. 56 under the authority of the Municipal Act 2001, S.O. 2001, c25 and will be used by the Township of Alnwick/Haldimand for the operation of recreation programs.

Signature:

Clear

Date:

Clear

Form builder

Committee and Board Application