Required fields are marked with asterisks (*)

Contact Information

This information is collected for the purposes of notifying delegates when changes occur to the meeting or the issue they wish to address. In addition, the Township Clerk's Department may contact delegates if clarification is required or any material submitted encounters techincal difficulties.

Name:

Address:

Email Address:

Phone Number:

Name of Person Requesting Appearance (if different from person appearing):

Meeting Information

I am requesting to speak:

On my own behalf.

On behalf of a group/organization/association.

Meeting you wish to attend - please select one option.

Council Meeting

General Finance Committee Meeting

Planning Committee Meeting

Preferred Meeting Date:

Presentation Type:

Verbal

Powerpoint

All presentations must be submitted a minimum of 5 business days prior to the meeting. If you would like to submit your presentation materials at this time, please attach here.

Browse…

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

Presentation Location:

I will attend the meeting in person.

I will attend the meeting virtually.

Background Information

Subject of your delegation:

Brief Statement of Purpose:

Have you been in contact with Township Staff in regards to your matter of interest?

Yes

Have you appeared before Council or Committee in the past to discuss this subject?

Yes

Will you be asking Council or Committee for a decision?

Yes

Do you have any additional information/accessibility requests related to your delegation? Please specify here:

Authorization

Please check the boxes below that you have read and understand:

Maximum time permitted for deputations is 5 minutes.

All presentation documents will be submitted to the recording secretary prior to the meeting and will be made available to the public.

USB devices and hard copy handouts are not permitted.

Collection of Information

Personal information on this form is collected under the legal authority of the Municipal Act, S.O. 2001, c.25, as amended. The information is collected and maintained for the purpose of creating a record that is available to the general public pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act.

Please note that all presentations are live streamed and information on and attached to this form may be made available to the public.

Form Builder

Contact Information

Meeting Information

Background Information

Authorization

Collection of Information