Application for Appointment (Name of Business Improvement Area Board or Committee)

Name

Phone Number

Alternate Phone Number

Address

P.O. Box or R.R. Number

Welcome

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Postal Code

email address

Have you previously been a member of this or any other Town of Fort Erie Board/Committee?

No

Yes

If you answered yes above, please indicate which board/committee and the length of service.

Are you applying to serve on another Town of Fort Erie Board/Committee?

No

Yes

If you answered yes above, please indicate which Board/Committee.

How did you learn about this position?

Other

Word of Mouth

Community Organization

Town's Website

Newspaper

Do you own or rent property within a Business Improvement Area?

No

Yes

If you answered yes above, please indicate which property or business (if more than one, please list all):

Please state why you are interested in serving on this Board/Committee:

Based on the mandate of the Board/Committee you are applying for, please list your relevant education, work or volunteer experience:

What skills, abilities and specialized knowledge do you have that will assist this Board/Committee:

Please add any additional information or comments (a resume may be submitted with this form but will not be accepted instead of this application):

I have read and understand the Board/Committee mandate and confirm that I am able to commit the time required to carry out those duties. I also confirm that I have thoroughly filled out this application form.

Clear

Date:

Council will review the applications and engage in a public selection process at an upcoming Regular Council Meeting. All information will remain confidential and subject to the Municipal Freedom of Information and Protection of Privacy Act, except the successful Applicant's name.

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