Request for Delegation to Appear Before Council

Date of request

Council Meeting Date

Title

First

Last

Name of organization (if applicable)

Address

City/Town

Province

ZIP/Postal Code

Applicant's Phone Number

Applicant's Email Address

Name of the Individual who will make the presentation to Council

Topic of Presentation

What title would you like to appear on the Council meeting agenda for your delegation?

What is the primary purpose of your delegation?

For information only

Funding request

Request for a letter of support

Other

Specify below

Please provide additional details regarding the purpose of your delegation

Please explain the desired outcome and, if applicable, the actions requested from Council

Will you be providing documents?

Yes

If yes, please complete the following section

PowerPoint presentations must be submitted to the Clerk no later than Thursday (4 calendar days before the meeting date) at 4:00 p.m. to be included in the final agenda preparation.

Handouts distributed at the meeting (please bring at least 10 copies).

Agenda publication (electronic document) must be submitted to the Clerk no later than Thursday (4 calendar days before the meeting date) at 4:00 p.m. to be included in the final agenda preparation.

Signature

I confirm that I have read and understood the delegation procedures, understand their scope, and agree to comply with them.