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Organization Nomination

Organization Nomination

Nominating Organization Information

Name of Organization
Title of Endorser
Mr. Ms. Dr. Other
If other, please specify
Last Name of Endorser
First Name of Endorser
Contact Number for Organization
Address for Organization

Nominee Information

Title
Mr. Ms. Dr. Other
If other, please specify
Last Name
First Name

Nominee Contact Information

Address
City
Province
Postal Code
Phone - Residence
Phone - Business
Email

Nominee History

Current Occupation
Employer
Attach Résumé
Commission/Committee/Board/Panel/Task Force for which you are applying (please choose three; hold down Ctrl while clicking to select multiple options).
Have you previously been a member of a Commission, Committee, Board, Panel, or Task Force for the City of New Westminster?
Yes
No
What skills and goals will you bring to the Commission/Committee/Board/Panel/Task Force?
Business/Work experience in the past five years
Educational background/Professional qualifications
Community/Volunteer activities in the past five years

Nominee Consent

I consent to the release of the information on my application and understand that it will be made available on as needed basis to New Westminster City Council, civic staff and any applicable civic agencies (i.e. New Westminster Public Library), for the purpose of making appointments to Commissions, Committees, Boards, Panels and Task Forces, and, if I am appointed, for contacting me regarding meetings and sending information.
Date
Calendar

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