Application for Appointment to an Advisory Committee

The Township of Puslinch Council is seeking applications for an opening on its Heritage Advisory Committee, Youth Advisory Committee and Recreation and Community Wellness Advisory Committee.

Review the Terms of Reference below for more information on the Committee Role, Mandate, Purpose, Qualifications and more. Please note that meetings are to be held in person with the ability for the public to join/participate in person or virtually. In accordance with the Township’s Procedural By-law Committee Member’s must attend Committee meetings in person to participate.

Fill out the application below or download the printable PDF form.

Name of Advisory Committee being applied for *

• Heritage Advisory Committee
• Youth Advisory Committee
• Recreation and Community Wellness Advisory Committee

Are you 65 years or age or older?

• Yes
• No

Applicant Information

Name *

First

Last

Email *

Phone *

Property Address *

Address Line 1

Address Line 2

City

OntarioAlbertaBritish 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: work related, community service oriented, or other volunteer activities which illustrate the interest, skills or abilities you may contribute to a Township Committee.

Reason for Interest *

Please explain why you would like to serve on this 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 *

Clear Signature

Submit