Permit Details | City of North Bay

Application for Appointments to ABC's

Online Form

Application Information

What skills, abilities or specialized knowledge do you have that will assist the board, committee or commission for which you are applying?

What contribution do you believe you can make to the board, committee or commission for which you are applying?

Personal Information

Full Name: *

Address: *

Postal Code: *

Primary Telephone Number: *

Alternate Telephone Number:

E-Mail Address:

Occupation * If retired, state "retired" and add most recent occupation

Acknowledgement

I certify that I am eighteen years of age or older and a resident of the City of North Bay. I acknowledge that all appointments are on a volunteer basis and no compensation will be paid. *

Date: *

Signature: * Please type your name in full ***ADD SOMETHING??**

Consent for storing submitted data *

Yes, I give permission to store and process my data

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for its intended purpose only. Questions about this collection or personal information should be directed to the City Clerk, 200 McIntyre Street East, North Bay ON P1B 8V6, or by telephone at (705) 474-0626 ext. 2510.

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