Required fields are marked with asterisks (*)

Application for Fence Viewer

Please answer all questions.

First and Last Name

Mailing Address

Telephone Number

E-mail Address

Occupation

Describe your work and/or volunteer experience as it relates to this position.

Have you previously served on a Municipality of Trent Lakes Committee, Board or other Volunteer position? If so, please indicate which position and the number of years you have served.

Are you aware of any Conflicts of Interest with respect to the position to which you are seeking appointment? If so, please describe.

Please provide two (2) references:

For each reference, please list the name, contact information and your association with the person/organization.

By signing this application, you authorize the Municipality of Trent Lakes to contact the following persons or organizations and authorize them to disclose to the Municipality any required information.

Reference #1

Reference #2

Please note you may also include a personal resume or synopsis with your application form.

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Signature

Date:

Final approval of appointments will be made by the Municipality of Trent Lakes Council.

Notice of Collection: The personal information collected on this form is collected under the authority of the Municipal Act and will be used for the purpose of recruitment and selection for appointments. Questions about the collection of this information should be directed to the Clerk at (705)738-3800 Ext. 219 or by e-mail to clerk@trentlakes.ca.

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Application for Fence Viewer