Application for Appointment to County of Wellington Joint Accessibility Advisory Committee

The County of Wellington is seeking a Township of Puslinch Representative to join the Joint Accessibility Advisory Committee. The community member must be actively involved with organizations for people with disabilities, be a caregiver for people with disabilities, or a person living with a disability by the Ontario Human Rights Code.

The Joint Accessibility Advisory Committee meets four times per year at the Aboyne Library (522 Wellington Road 18 RR1, Fergus, ON) or other locations agreed to by the Committee. Committee members will be compensated for mileage and per diem.

Mandate of Accessibility Advisory Committee

• Advise all member Municipal Councils and the County on the prevention, identification and elimination of barriers faced by persons with disabilities.
• Advise all member Municipal Councils and the County proper on other accessibility-related issues within the County.

Review the Terms of Reference for more information on the Committee Role, Mandate, Duties, Qualifications and more.

Name of Advisory Committee being applied for *

• County of Wellington Joint Accessibility Advisory Committee

Applicant Information

Name *

First

Last

Email *

Phone *

Property Address *

Address Line 1

Address Line 2

City

— Select state —AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Is your mailing address different from your property address? *

• Yes
• No

Mailing Address *

Address Line 1

Address Line 2

City

— Select state —AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Previous Experience *

State your experience: The community member must be actively involved with organizations for people with disabilities, be a caregiver for people with disabilities, or a person living with a disability as defined by the Ontario Human Rights Code.

Reason for Interest *

Please explain why you would like to serve as the Township of Puslinch representative on the County of Wellington Joint Accessibility Advisory Committee.

Upload a copy of your resume which provides more information about your experience

Click or drag files to this area to upload. You can upload up to 5 files.

Terms and Conditions *

• I have read, understand and acknowledge the meeting availability requirements and confirm that I can meet these availability requirements.

Applicant Signature *

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