TOWN OF CANMORE APPLICATION FOR COMMITTEE/BOARD MEMBERSHIP Please return to Cheryl Hyde, Municipal Clerk THE APPLICANT – CONTACT INFORMATION Name:
Mailing Address:
Phone Number:
(daytime)
Phone Number:
(cell)
Fax Number:
E-mail Address:
I AM INTERESTED IN MEMBERSHIP ON THE FOLLOWING COMMITTEE(S)/BOARD(S) IN ORDER OF PREFERENCE: First Choice: Second Choice: MY REASONS FOR APPLYING ARE (ATTACH ADDITIONAL PAGES IF NECESSARY):
EDUCATION (ATTACH ADDITIONAL PAGES IF NECESSARY):
APPLICABLE EXPERIENCE (ATTACH ADDITIONAL PAGES IF NECESSARY):
VERIFICATION The undersigned verifies that the information provided in this application is correct and complete.
Signature
Date
PLEASE FORWARD THE COMPLETED APPLICATION FORM TO: Cheryl Hyde Municipal Clerk, Town of Canmore chyde@canmore.ca Phone: 403.678.1550, Fax 403.678.1524 902 – 7th Avenue, Canmore Alberta, T1W 3K1. The personal information requested in this form is being collected for the purpose of determining eligibility of an applicant to be appointed to a committee/board. The information is collected under the authority of Section 32(c) of the Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may th be directed to the Municipal Clerk at 678-1535 or 902-7 Avenue, Canmore, AB, T1W 3K1.