Welcome

Committees play an important role in the municipal decision-making process and provide an opportunity for public engagement and participation.

First Name

Last Name

Phone Number

Cell Phone Number

Street Address

City/Town

Postal Code

E-mail

Please select the Committee(s) you are applying for.

Accessibility Advisory Committee

Airport Advisory Committee

Cultural Advisory Committee

Development Committee

Heritage, Beautification & Cemetery Advisory Committee

Museum Advisory Committee

Parks & Recreation Advisory Committee

Special Awards Committee

Other (Please Indicate the Committee you are applying for).

Please list any other community organizations that you are currently affiliated with.

Describe your experience serving on another board or committee (if applicable).

Describe any specific knowledge or experience you have which relates to the Committee(s) in which you have expressed interest in.

If you are not selected to sit on the Committee(s) of your choice, would you be interested in serving on a different Committee? If you are not selected to sit on the Committee(s) of your choice, would you be interested in serving on a different Committee?

Yes

Please see the Meeting Dates, Times & Locations for each Committee of Council below: Please see the Meeting Dates, Times & Locations for each Committee of Council below:

Accessibility Advisory Committee - 2nd Wednesday of the Month at 3:00 p.m. (Customer Service Centre)

Airport Advisory Committee - 2nd Thursday of the Month at 7:00 p.m. (Airport)

Cultural Advisory Committee - 1st Wednesday of the Month at 5:00 p.m. (Town Administrative Office)

Development Committee - 2nd Tuesday of the Month @ 7:30 a.m. (Community Centre)

Heritage, Beautification & Cemetery Advisory Committee - 1st Thursday of the Month at 9:00 a.m. (Community Centre)

Museum Advisory Committee - 4th Thursday of the Month at 4:30 p.m. (Annandale NHS)

Parks & Recreation Advisory Committee - 1st Thursday of the Month at 7:30 a.m. (Community Centre)

Special Awards Committee - 1st Tuesday of the Month at 2:30 p.m. (Council Chambers)

If you are applying for the Accessibility Advisory Committee, please note that the Accessibility for Ontarians with Disabilities Act, 2005 requires that a majority of the committee members be persons with disabilities.

Do you identify as an individual with a disability? Do you identify as an individual with a disability?

Yes

Prefer not to identify

If appointed, are there any issues that you feel should be considered by the committee(s) you have selected? If appointed, are there any issues that you feel should be considered by the committee(s) you have selected?

Yes

The personal information on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, Chapter 25, as amended and is used solely for the purposes related to the appointment of citizens at large to Council Committees. If you are appointed to a Council Committee, your name may be viewed by the public. If you have any questions about the use of this information, please contact the Clerk's Office at 200 Broadway Street, 2nd Floor, Tillsonburg, ON N4G 5A7, by phone at (519) 688-3009 ext. 3221 or by email at clerks@tillsonburg.ca.

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