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Application for public member appointment

Cultural Roundtable

Do you live in or have a business license in Stony Plain?
Do you live in the Tri-Municipal Region?
Have you previously served on a Council Appointed Board or Committee?
Are you currently a public member of the Cultural Roundtable and applying to sit for a subsequent term?
Please select which position on the Cultural Roundtable are you applying for?

The personal information requested on this form is being collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and will be used for the purpose of determining eligibility and qualifications for a position with a Town of Stony Plain board or committee. The personal information provided will be protected in accordance with Part 2 of the Act. If you have any questions regarding the collection, use or disclosure of personal information, please contact the FOIP Coordinator at 780-963-2151.