Committees & Commissions Application

First Name

Last Name

This form allows you to save a draft. An email with a link to your draft will be sent to the address provided above upon the draft’s first save. Subsequent saves will not resend this email. Upon submission, you’ll receive a second email confirming the final values provided.

Phone

Address

Address 2

City/Town

Province/State

Postal Code/ZIP

Country

Committees/Commissions

Please indicate the Committee or Commission you are interested in serving on.

Transportation Advisory Committee

Agricultural Advisory Committee

Community Heritage Commission

Economic Development Advisory Committee

Environmental Advisory Committee

Municipal Advisory Committee on Accessibility & Inclusiveness

Parks, Recreation and Culture Advisory Committee

Public Art Steering Committee

Social Policy Advisory Committee

Are you currently serving on any Committee or Commission?

Have you served on any Committee or Commission in the past?

Re-order	Name of Committee or Commission	Term Date(s)	Weight	Operations
	Name of Committee or Commission	Term Date(s)	Item weight

More Item(s)

If you are successfully appointed to a Committee or Commission, do you consent to sharing your email address and phone number, as provided, with other Committee Members?

All Committee Members Must Read Policy 3.11

I Have Read the Content, Requirements, and Expectations of the Committees of Council as Set out in Policy 3.11

Experience and Skills

Reasons and Interests in Applying

Experience and Skills

Please list any of your skills that you feel would contribute to this Committee or Commission.

Academic/Professional Qualifications

Volunteer Experience

Please list any volunteer activities with which you have been involved.

What do you hope to contribute by your participation?

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Personal information entered on this form is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purpose of administering the committee application process. If you have any questions about the collection, use or disclosure of this information, contact the FOI Office by calling 604-466-4300 or by emailing FOI@MapleRidge.ca. For more information about FOIPPA at the city, please visit our Freedom of Information page.