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Application for appointment to the Age-Friendly Community Council (AFCC)

Complete all sections of this form-fillable document. Applications can be emailed to adults55@richmondhill.ca or mailed to: Program Coordinator, Adult 55+, 10100 Yonge Street, Richmond Hill, ON L4C

Please contact Jennifer Ayres at (905) 747-6478 for any assistance completing this application.

Deadline for Application: October 30, 2024, 4:00 p.m.

First Name

Last Name

Home Phone

Business Phone

Address

Postal Code

Please select the sector(s) that you would best represent on the AFCC. If a sector does not apply, leave it blank.

Business Representative

Citizen Member

Community Group Representative

Were you a member of the 2022-2024 term of the Age-Friendly Community Council?

Yes

Current members may reapply for a second term. Past membership does not guarantee acceptance on the 2025 - 2026 term.
Please complete the full application.

Describe your educational background and, if applicable, professional credentials.

What skills, abilities and specialized knowledge do you have that will assist this committee?

Are you affiliated with any community groups or businesses for seniors in Richmond Hill? What is your role?

Why are you interested in serving on this committee?

What contribution do you believe you can make to this committee?

What past contributions have you made on a similar committee or organization?

What experience do you have in exchanging your views with others and in appreciating and respecting the skills, abilities and knowledge of others?

Have you previously served on a City of Richmond Hill committee? If so, please name the committee, your role and indicate the number of years you have served.

Please note you may also include a personal resume or synopsis with your application form.

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You may be invited to attend a short interview to elaborate on your application. Are you interested in such an interview?

Yes

Final approval of appointments will be made by the Mayor. If you require any additional information please contact Jennifer Ayres at (905) 747-6478.

Personal information contained on this form is collected pursuant to the Freedom of Information and Protection of Privacy Legislation and will be used to determine eligibility for appointment.

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Application for appointment to the Age-Friendly Community Council (AFCC)

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