Required fields are marked with asterisks (*)

2022-2026 Statutory Committee and Local Board Application Form

Please complete and submit the following application by Monday, October 31, 2022.

For information on the various committees and boards, please see the Committee website page.

Please note the special requirements for membership on the following Committees:

  • Tecumseh Accessibility Advisory Committee - a majority of the members of the Accessibility Advisory Committee shall be persons with disabilities
  • Town of Tecumseh Business Improvement Area - Committee members must be the owner or tenant of commercial lands in the Town of Tecumseh or be employed by an owner or tenant of commercial lands in the Town of Tecumseh.

The applications will be considered at the Special Council Meeting scheduled for Tuesday, December 13, 2022 at 6:00 pm.   

COVID-19 Vaccination Policy

If an applicant is successful in being appointed to any of the above committees, they will be required to comply with the Town of Tecumseh's Policy 110 - COVID-19 Vaccination Policy.

Which Committee are you interested in applying for?
 

Mailing Address and Contact Information

Eligibility Criteria

Are you a Canadian citizen?
 
Are you an employee of The Corporation of the Town of Tecumseh?
 
Are you prohibited by law from voting in a municipal election?
 

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 Committee/Board. Please upload a current resume, if available.

Browse…

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

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 Committee/Board.



I agree that the information provided above is accurate and ready for review by The Corporation of the Town of Tecumseh.
 

This document is available in alternate formats by contacting the Legislative Services & Clerk Department at 519-735-2184, ext. 117 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 By-Law 2020-13 - Procedural By-Law, as amended. Questions about the collection of information should be directed to the Municipal Clerk.