Application for Appointment to the Tecumseh Heritage Committee

Please complete and submit the following application before Thursday, October 31, 2019.

Mailing Address and Contact Information

Eligibility Criteria (Please indicate yes or no)

Personal Experience

State, in detail, your experience:  work related, community service oriented, recreational sports, or other volunteer activities which illustrate the interest, skill sets or abilities you possess that would make you a good candidate for the Tecumseh Heritage Committee. Please upload a current resume, if available.

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Education

Please indicate the highest level of academic achievement:

References

By agreeing to this application, you authorize the Town to contact the following persons or organizations and authorize them to disclose to the Town any information required to assist in the evaluation of your application for the Tecumseh Heritage Committee.

This document is available in alternate formats by contacting the Corporate Services & Clerk Department at 519-735-2184, ext. 116 or by emailing the Clerk's Department.

Personal information on this form is collected under the authority of the Municipal Act, 2001, (and other applicable legislation) and will be used only for the purpose of recruitment of individuals to the Tecumseh Heritage Committee. Information on this form will be disclosed to members of Tecumseh Council and Administration for selection purposes only. Questions about the collection of information or about the selection process in general, should be directed to the Municipal Clerk.