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Application - Appointment to Committees and Boards


Personal Data - Mailing Address and Contact Information


Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif


Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif


By submitting this application, you authorize the Town to contact the following persons/organizations, and authorize them to disclose any information required to assist in the evaluation of your application to this Board

Note: Applicants may be requested to attend an interview if additional information is required.  Alll applications will be considered and a recommendation submitted to Town Council for final approval.

Personal information contained on this form is collected under the authority of the Municipal Act, 2001 (and other applicable legislation) and will be used only for the purpose of recruitment of individuals to Boards and Committees for the Town of Amherstburg.  Information on this form will be disclosed to member of your local Municipal Council and Administration for candidate selection purposes only.  Questions about the collection of information or about the selection process in general, should be directed to the Municipal Clerk at the address indicated at the top of the application form.


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© 2020 Town of Amherstburg,

271 Sandwich Street South, Amherstburg, ON. N9V 2A5,

Phone: 519-736-0012, TTY: 519-736-9860, Email: