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Committee / Board Application Form

Which Committee are you interested in applying for?

Applicant Information

First Name

Last Name

Address:

Phone Number:

Email Address:

Are you a Township of Hamilton Resident or Rate Payer?

Yes

Are you at least 18 years of age?

Yes

Are you an employee of the Township of Hamilton?

Yes

Are you prohibited by law from voting in a municipal election?

Yes

Please explain why you would like to serve on this Committee/Board?

In detail, please explain your past experience, work related other other activities that illustrate the interest, skill sets or abilities you possess that would make you an ideal candidate?

Current Resume (not mandatory)

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References

By agreeing to this application, you authorize the Township of Hamilton to contact the following persons or organizations and authorize them to disclose to the Township any information required to assist in the evaluation of your application for the Commmittee/Board.

First and Last Name

Phone Number:

Relationship to you

First and Last Name

Phone Number:

Relationship to you

First and Last Name

Phone Number:

Relationship to you

I agree that the information provided above is accurate and ready for review by the Township of Hamilton.

Yes

Date

Personal information contained on this form is collected under the authority of the Municipal Act, 2001 and the Township of Hamilton’s By-law #2015-07 and will be used to determine eligibility for the applicable Committee / Board. Questions about this collection of information should be directed to the Clerk’s Department by mail or in-person (PO Box 1060, 8285 Majestic Hills Dr, Cobourg, Ontario, K9A 4M5), telephone (905-342-2810) or email (clerks@hamiltontownship.ca).

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Committee / Board Application Form

Applicant Information

References