Required fields are marked with asterisks (*)

Delegation Request Form for Committees

If you wish to speak at an upcoming meeting, please ensure this form is fully completed.

The public can apply to speak at an Advisory Committee and/or Steering Committee meeting. Please refer to the committee schedule before requesting your date.

Requests must be received no later than 4:00 p.m. one (1) week prior to the meeting date.

For additional information or clarificaiton please contact the Committee Coordinator in the Corporate Services Department at mail@scugog.ca.

Date of Meeting

Name of Delegation / Person(s) Speaking

Contact Name

Email Address

Address

Town/City

Province

Postal Code

Group Delegation Represents

General Nature of Delegation

Which Committee do you wish to address

Please indicate the Action being requested by the Committee (if applicable)

Note: Committee meetings are not livesteamed or recorded. You will be required to submit any presentation materials no later than 48 hours prior to the meeting.

Personal Information on this form is being collected under the authority of the Municipal Freedom of Information and Protection of Privacy ACt, R.S.O. c.F.31, s. 39 (2).

Questions about this collection may be directed to the Director of Corporate Services/Clerk, Township of Scugog, 181 Perry Street, PO Box 780, Port Perry, ON, L9L 1A7, rwalton@scugog.ca or 905-985-7346.