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Liquid Waste Management Plan Monitoring Committee Application Form

Please fill out the application form below to apply to be a member for the Liquid Waste Management Plan Monitoring Committee.

Liquid Waste Monitoring Committee Terms of Reference

Fields marked with an asterix (*) are required.

Full Name *

Resides at or/ Property owned at *

Describe relevant experience and/or education *

Describe other community projects/committees you have participated in *

Describe why you wish to be a member of this committee *

Phone number *

Email address *

Mailing address *

I hereby acknowledge that I have read and understand the Terms of Reference for the Liquid Waste Management Plan Monitoring Committee.

Thank you for your interest in the Liquid Waste Management Plan Monitoring Committee. You will receive an email acknowledging receipt of your application.

Staff will compile all submissions and provide a confidential report to Council for their consideration.

Information collected on this form/application is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPP), and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. For further information regarding the collection, use, or disclosure of personal information, please contact the City Corporate Officer, Chris Jackson at 604-485-8603 or cjackson@powellriver.ca.