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Application for Appointment to Board or Committee

Applicant Name

Applicant Address

City

Telephone number

Cell Phone number

Email address

Please list the board(s) and/or committee(s) for which you apply to be appointed:

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 yourself as having a disability?

Yes

Prefer not to identify

Please indicate what interests you have about the board(s) and/or committee(s) that you have listed above:

Please indicate the education and work experience that you have which would make you particularly suited for appointment to the board(s) and/or committee(s) that you have listed above:

Please identify the skills that you have which would be of benefit to the board(s) and/or committee(s) that you have listed above:

(Optional) If you wish to attach a cover letter and resume, please do so here.

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Application for Appointment to Board or Committee

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