Boards & Committees Appointment Application

Full Name:

Pronouns:

Address:

Postal Code

Phone: (Home)

(Cell/Work):

Email:

Occupation:

Name of employer or the partnership or firm to which you belong:

List any corporation in which you have a controlling interest, or you are a director/senior officer:

List current involvement in Community and other relevant activities including participation on Boards, Committees and Organizations:

State your skills, experience and other qualifications relating to the chosen areas of interest:

Attachments:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Reference #1:

Reference #2:

Please indicate how you heard of the opportunity of participating on a City Council Board or Committee:

The City of Prince Albert Website

Newspaper

Facebook/Instagram

Other (please specify):

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