Organization Nomination

Commission/Committee/Board Relevant Information

Please indicate up to three Commissions, Committees, or Boards that you wish to be considered for (in order of preference):

First (or only) choice:

Second choice:

Third choice:

Please indicate the specialized role* (other than Community Member) that you wish to be considered for on any of the above-listed Commissions, Committees, or Boards:

* For more information on the specialized roles, please consult the Vacancies List and Terms of Reference for the specific Commission, Committee or Board.

Have you previously been a member of an advisory body to Council for the City of New Westminster?

Yes No

If yes, which Committee(s) and year(s)?

What skills and goals will you bring to the Commission/Committee/Board?

Please provide a brief summary of your work and educational background of the past five years:

Please indicate your community and volunteer activities of the past five years:

I consent to the release of the information on my application and understand that it will be made available on an as needed basis to New Westminster City Council, City staff and New Westminster Public Library staff, if applicable, for the sole purpose of making appointments to Commissions, Committees, or Boards, and, if I am appointed, for contacting me regarding meetings and sending information.

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Organization Nomination

Nominating Organization Information

Nominee Information

Nominee Personal Information

Nominee Contact Information

Nominee History

Commission/Committee/Board Relevant Information

Nominee Consent