Required fields are marked with asterisks (*)

Delegation Request Form

Applications to appear as a delegation before Tecumseh Town Council must be received by the Clerk no later than seven (7) days in advance of the meeting at which you wish to appear. Your application will be reviewed and you will be notified by the Clerk if your request has been approved. Please refer to our Appearing before Council page for all the conditions and procedures.

Note: If you wish to simply attend the meeting but not appear as a delegation, simply access our Live Stream video.

First Name

Last Name

Title (if representing an organization)

Company Name

Primary contact number

Alternate Phone Number

Primary email address

Street Address

Town or City

Postal Code

Preferred Meeting Date: (Town Council generally meets the 2nd and 4th Tuesday of each month. Please view the Council Meeting Calendar for upcoming dates.)

Preferred Meeting Date:

Subject of Application: (What is the reason of your delegation request?)

Presentation Materials

Any additional documentation, presentation materials, and/or audio-visual aids must be provided to the Clerk prior to the meeting date for review, approval and circulation to Council and Administration. Any materials that will be made public shall be compliant with AODA legislation.

Will you have any of the following?

Verbal presentation only

Overhead Visual Presentation (PowerPoint, video, photographs, etc.)

Sound/Audio required

Handouts

Live Action Presentation (demonstration, choir, etc.)

Other

If multiple people are speaking on this subject, please list their full name (and titles, if applicable) here:

I Want To...

Apply or Register

Pay

Concerns, Complaints and Compliments

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Delegation Request Form