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Online Boards and Committees Application Form

By submitting this application form you are applying to volunteer on one of the City of Burlington's boards or citizen committees. Please submit one application per board or committee. To view a board or committees mandate/mission click here.

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Name of Individual:

Address:

City:

Postal Code:

Home Telephone:

Enter a valid phone number. Example: 123-456-7890

Business Telephone:

Enter a valid phone number. Example: 123-456-7890

Email Address:

Enter a valid email address. Example: name@company.com

Fax Number:

Enter a valid phone number. Example: 123-456-7890

How do you prefer to be contacted?

Occupation:

Please select the specific Board or Committee you wish to volunteer for. Note: Only committees currently accepting applications are shown.

You may express interest in a board or committee not currently accepting applications. Applications are kept on file for one year.

Briefly describe your volunteer experience within the past five years:

Briefly describe additional skills or experience relevant to this appointment. Attach additional sheets if required.

Would you like to attach additional sheets? (pdf, max. 5MB)

I hereby consent/do not consent to the release of my name to the public and my contact information to committee members and staff.

Consent

Do not consent

Personal information on this form is collected under the authority of the Municipal Act, S.O. 2001, c.25 and will be used to evaluate applications for appointees to local and regional Boards & Committees. Inquiries may be directed to the attention of the City Clerk:

426 Brant Street, P.O. Box 5013,
Burlington, ON
L7R 3Z6

Fax: 905-335-7881
Email: cityclerks@burlington.ca
Phone: 905-335-7698