Boards and Committees Public Member Application

The personal information on this form is collected under Section 4 of the Protection of Privacy Act (POPA). It will be used to determine an applicant's eligibility to serve as a member of a Board or Committee of Northern Sunrise County. It will be shared with Council and Administration.

Interested in more than one board or committee? Please submit a separate online application for each board or committee you would like to be considered for.

Board or Committee of Interest *

Name *

Address *

Phone Number *

Email Address *

Please explain your interest in applying for a position on a Northern Sunrise County Board/Committee *

Please identify what education you have related to the Board/Committee you are applying for. *

Please detail any experience you have serving on Boards, Committees, or in any relevant organizations *

Any other relevant skills or experience/qualifications that make you suitable to serve on this Board/Committee *

Should you be chosen as a member of a NSC Board/Committee, your name and contact information may be released to the general public. Please authorize the release of this information and specify what information can be made public. * My Name
My email address
My phone number
None of the above

Applicant Signature (A typed name on an electronically submitted form constitutes a signature for the purposes of this application.) *

By clicking submit, I understand that confirms I meet the eligibility requirements and that the information provided is accurate.

* - denotes required field