Committee Member Application Form - Uxbridge, Canada - The Township of Uxbridge
Description
Volunteer - Committee Member Application Form
Personal Information
Name:
Address (including postal code):
Home Phone:
Alternate Phone:
Committee Preference and Supporting Information
Please outline the Committee(s) you would like to sit on. Please note a résumé or expression of
interest which outlines why you should be appointed to the committee and the skills you will bring
Volunteer Experience
Do you have any experience volunteering? YES NO
If Yes, in what capacity:
Accommodation
We want to ensure persons with disabilities are able to participate on municipal committees. If you
have a disability, what accommodations, if any, would you need to carry out this position?
Additional Information
Please provide any additional information which may be of assistance in the selection process.
Applicants Signature:
___________________ Date: ___________
Township of Uxbridge documents are available in alternate formats upon request. Please fill out the
- The Township of Uxbridge is an Equal Opportunity Employer that is dedicated to an inclusive, barrierfree recruitment and selection _
- 2SLGBTQI+ communities, and people from diverse communities. When requested, the Township of Uxbridge will accommodate _
- Personal information is collected in accordance with the Municipal Freedom of Information and Protection of Privacy Act._
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