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Advisory Committee and Local Board Application Form

About this application


This application is your opportunity to share why you are a strong candidate for this position. Your responses should demonstrate how your skills and experience fit with the mandate and qualifications of the committee, board, agency, or commission for which you are applying.

Please send your completed form to clerks@guelph.ca, mail or drop off to ServiceGuelph, Attention: City Clerk's Office, 1 Carden Street, Guelph, Ontario, N1H 3A1.

In accordance with the City’s Public Appointment Policy applicants must be 16 years of age and either a resident or the owner of property within the City of Guelph. City of Guelph employees are not eligible to apply for committee positions.

If you require assistance in completing this form or would like additional information, please contact the City Clerk’s Office clerks@guelph.ca (519) 837-5603 TTY 519-826-9771 or text 226-821-2132.

Deadline for applications is 4:30 p.m. on the closing date.

Contact information


 

Address


 

Advisory Committee or Board to which you are seeking appointment

Select up to three in order of preference.


 

Tell us about yourself


 

Committee and community experience

Please list current community involvement or experience within the city or otherwise (experience is not a pre-requisite for appointment).


 

The Public Appointment Policy limits committee membership to a maximum of eight years. Please indicate if you are a current prior member and, if so, for how many years.

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Confidential voluntary diversity information (optional)


The City of Guelph recognizes that it is best served by committees which reflect the diversity of our community.

Priority will be given to applicants of equity seeking groups.

You are encouraged to complete this confidential diversity questionnaire. This information is used to help the City in achieving its objectives for equity and diversity. The City Clerk’s Office will report publicly on the results of these responses in summary form only and will keep the identities of candidates confidential. This information will not be released for any other purpose without your permission.

The City Clerk’s Office collects this information in compliance with the provisions of the Municipal Freedom of Information and Protection of Privacy Act, the Ontario Human Rights Code and the City’s Public Appointment Policy approved by Council on July 19, 2021.

1. Aboriginal/Indigenous Peoples

Aboriginal/Indigenous Peoples are those who identify as members of First Nations (status, non-status, treaty, or non-treaty), Inuit or Metis communities in Canada.

2. Member of a Visible Minority

Members of a visible means other than Aboriginal/Indigenous Peoples who are non-Caucasian in race or non-white in colour. We recognize that this language is outdated and that the term "racialized" is becoming more common. The Ontario Human Rights Commission explains that because ‘race’ has its roots in social, not biological, characteristics and includes much more than skin colour, their preferred term is “racialized group or person". We are using the term visible minority, not racialized group, because it is the term used by Statistics Canada in its Census data.

3. Persons with a disability

The term disability covers a broad range and degree of conditions, some visible and some invisible. A disability may have been present at birth, caused by an accident, or developed over time. These include physical disabilities, hearing or vision disabilities, developmental disabilities, learning disabilities, chronic illness and mental health disabilities and addictions. A disability may be permanent, temporary, or episodic which may result in experiencing disadvantage or barriers to full participation in society.

Gender

By Selecting “I agree” you declare that the information in this application form is true and you understand that:

You may be asked to provide information to confirm your identity, eligibility, and qualifications.

Clear

Collection of personal information

Personal information, as defined by Section 2(i) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA.  Personal information on this form will be used to assess candidates’ qualifications for appointment to one of the City’s various committees or boards.  Personal information may form part of meeting agendas and minutes, and therefore may be made available to members of the public at the meetings, through requests, and through the website of the Corporation of the City of Guelph.  Questions regarding the collection, use, and disclosure of this personal information may be directed to the Information, Privacy and Records Coordinator, City Clerk’s Office, 1 Carden Street, Guelph, Ontario, N1H 3A1. A Nominating Panel reserves the right to check references and verify information contained on these forms.