Required fields are marked with asterisks (*)

Application for Council Committees

The City of West Kelowna is seeking applications for new members interested in participating on the Agricultural Advisory Committee (AAC) or on the Advisory Planning Commission (APC).

Please read through each question carefully and provide as much information as you can.

Thank you for taking the time to apply.

Which Council Committee are your applying for?

Advisory Planning Commission

Agricultural Advisory Committee

Name of applicant:

Address including Street, City, Province and Postal Code:

Phone number:

Email:

History of community involvement:

Other relevant personal history:

Reason for seeking appointment:

Are you submitting this application as an individual or are you sponsored by an organization?

Individual

Sponsored by an organization

I, (provide your name below), hereby signify that I am willing to accept an appointment to the Advisory Board named herein, should I be appointed to such by the Council of the City of West Kelowna.

Applicant's signature:

Clear

The purpose of this form is to provide information which will assist the Council in knowing each applicant better. The form may be completed by an individual who is seeking an appointment, or by an organization wishing to submit an individual's name for consideration. In all cases, however, the person whose name is being put forward as a applicant must sign the form, in order to signify that he or she would be willing to accept the appointment should it be made.

How did you hear of this application?

Newspaper

Social media

City of West Kelowna eNotification (email)

Referral

Other

If you selected Other for the previous question, please explain:

Personal information on this form is collected pursuant to the Community Charter/Local Government Act, and will only be used for the purpose it was collected. Your personal information will not be released except in accordance with the Freedom of Information and Protection of Privacy Act. Questions about the collection of personal information may be referred to the Corporate Officer, 3731 Old Okanagan Highway, West Kelowna, BC, or calling 778-797-2250 during regular business hours.