Required fields are marked with asterisks (*)

Application to join the Economic Development Advisory Committee

Please complete this form if you'd like to apply for a position on the new Economic Development Advisory Committee (EDAC). Partial applications will not be considered.

Applicant's name

Street address

Municipality

Province

Postal code

Phone number

If you are not a permanent resident of Severn but you own or rent property in the Township, please enter the Severn address(es)

Do you currently sit on a Township of Severn committee or board?

Yes

Have you previously sat on a Township of Severn committee or board?

Yes

Please select which of the following positions you are applying for:

Agriculture sector

If you are applying as a representative of an agency, organization, or business please provide that information below

Please explain why you would like to serve as a member of the committee

Please summarize any previous experience related to the position you are applying for

I acknowledge and agree to complete any training as required by the Township of Severn if I am selected to sit on the commitee

Yes

Please attach a current resume and a minimum of three references

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Privacy statement

Information contained on this form is collected under the authority of the Municipal Act. Information collected will be used and managed by the Township of Severn in accordance with the Municipal Freedom of Information and Protection of Privacy Act for general municipal operations. If you require additional information, please view our Freedom of Information and Routine Disclosure Policy.

Please indicate that you've read and understand the above privacy statement

Yes

Applicant's name

Current date

Signature

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