Delegation Form

Delegation Form


Please note: * indicates that the field is mandatory
Name* 


Address*
 


Email*

If you do not have an email address please call 519-741-2203
 
Phone number



Are you speaking on behalf of a group or organization, if yes please specify which group / organization / individuals you are representing



Meeting you wish to attend






Date of applicable meeting (if known)

(yyyy/mm/dd)


1. Have you been in contact with a City staff with regard to your matter of interest?

2. Please summarize the information you wish to present as a delegation. Include such information as whether you are in support or opposition as well as identifying any questions you wish to have addressed, if applicable. Please note if you have already been a delegate on this matter, you need to specify the new information you intend on presenting.*
 

3. Are there any timing and/or financial implications associated with your request?
Timing Implications

Financial Implications


4. Please review the following guidelines related to registering as a delegation:
"As a delegate, you are allowed a maximum of five (5) minutes to outline your request or concerns. If your delegation consists of five or more people, two spokespersons may address council/committee, each for a maximum of five minutes. Please note as these are public meetings, they may be recorded for broadcast on Rogers TV and / or the city's website.

To ensure compliance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), any and all materials to be displayed in the Council Chamber must be submitted to the appropriate Committee Administrator no later than noon on the business day before the meeting. Presentations must be in PowerPoint.

Please be advised that petitions submitted at a public meeting are considered to form part of the public record. Accordingly, if you wish to submit a petition please ensure that everyone who has signed it understands that their personal information will be available to the public and will NOT be protected under the Municipal Freedom of Information & Protection of Privacy Act (MFIPPA)."


** Accessible formats and communication supports are available upon request. If you require assistance to take part in a city meeting or event, please call 519-741-2345 or TTY 1866-969-9994 **