Required fields are marked with asterisks (*)

Delegation Request Form

Delegations to Council, Budget & Audit Committee, and Planning – Statutory Public Meeting Committee may choose to appear before Council either in person, virtually over Zoom, or via telephone. Delegations will be heard in the order that they are received.

I wish to address:

Committee of Adjustment

Heritage Advisory Committee

Council

Budget & Audit Committee

Planning - Statutory Public Meeting Committee

Date of Meeting:

Agenda Item Number (if available):

Name:

Street Address:

City

Postal Code:

Email:

Primary Phone Number:

Secondary Phone Number:

Please select how you would like to appear before council.

In Person (Council Chambers)

Virtually (Over Zoom)

Telephone (Call in)

Are you speaking on behalf of neighbourhood group, business or organization?

Yes

Have you been in contact with City Staff with regard to your matter of interest?

Yes

Have you been in contact with a member of Council with regard to your matter of interest?

Yes

It is beneficial for meeting management purposes to understand in a few words the general intent of the information a delegation wishes to share at Council. If delegations wish to share a brief summary of the information to be shared they are invited to in the below space. Please note if a delegation has already been a delegate on a matter, they should highlight the new information intended for sharing.

Please briefly summarize the information you wish to share as a delegation.

Does your delegation pertain to a request for funding?

Yes

Will you have handout materials or a PowerPoint presentation?

Yes

Acknowledgements

I acknowledge my name and meeting materials will be made public on the City's website. I further acknowledge all meetings are recorded and made available through YouTube and the City's website.

Collection of Information Disclaimer

Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy legislation and will be used for the purpose of responding to your request. Questions about this collection should be directed to the City Clerk’s Office of the Corporate Services Division at (519) 740-4680

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Delegation Request Form

Collection of Information Disclaimer