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Committee and Board Member Application

The City of Brockville is seeking residents interested in serving on a municipal board or committee. Current opportunities include the Brockville Municipal Accessibility Advisory Committee (BMAAC), Brockville Public Library Board, and Planning Advisory Committee.

Name(Required)
Phone(Required)
Address(Required)
I am(Required)

Appointment to a board or committee will require your consistent attendance at regularly scheduled meetings. Meetings may be held during the day or in the evening.

Are you available for daytime meetings(Required)
Are you available for evening meetings(Required)
Eligibility
Max. file size: 300 MB.
Personal information, as defined by the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2011, and in accordance with the provisions of the MFIPPA. Personal information on this form will be used to assess the applicant’s eligibility for appointment to one of the various committees or boards. Questions regarding the collection, use and disclosure of this personal information may be directed to the Clerk’s Office, 1 King Street West, Brockville, ON K6V 7A5, 613-342-8772 clerk@brockville.com.

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