Required fields are marked with asterisks (*)

Commitee membership application form

Pour le français, cliquez ici.

Name

Address

City

Postal code

Home phone number

Home email

Work phone number

Work email

Cell phone number

Other

In which language(s) are you able to communicate orally and in writing?

French

English

How do you prefer to be contacted?

Please indicate the name of the commitee or organization you are interested in

Please include any other information pertinent to your application

Meeting availability

Please download a letter of interest and your resume

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

What are the next steps?

1. Your name will be added to the list of names of people who are seeking membership on a Council committee. Applications will be kept on record for a year starting on the day your submission is received.

2. Should a position become vacant on a Council committee, the committee's chair will review the list of names and will make a recommendation to Council at a closed meeting.

3. Should Council approve the Council committee chair's recommendation, the appointment will be ratified at a public Council meeting and the Mayor's Office will inform you of the decision.

4. Municipal staff will contact you in order to provide you with material relevant to your new role.

Personal information on this form is collected under the authority of the Right to Information and Protection of Privacy Act for the purpose of processing your application. Questions about this collection of personal information can be directed to the Clerk, 333 Acadie Avenue, Dieppe, New Brunswick, E1A 1G9. Tel: 506.877.7900.

91COMM11.25