Application for Appointment to City of Stratford Advisory Committees

We are committed to providing a fully accessible recruitment process. Please let us know if you require any accommodation: Email Clerks Department.

Please complete all fields. You may save and email your completed application to adviscom@stratford.ca, or you may print it and mail it to the City Clerk's Office, Stratford City Hall, PO Box 818, Stratford ON N5A 6W1.

Personal information, as defined by Section 2(i) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA. Personal information on this form will be used to assess candidates’ qualifications for appointment to one of the City’s various committees. Personal information may form part of meeting agendas and minutes, and therefore may be made available to members of the public at the meetings, through requests, and through the website of The Corporation of the City of Stratford. Questions regarding the collection, use, and disclosure of this personal information may be directed to the City Clerk, in the City Clerk’s Office, 1 Wellington Street, Stratford ON; Tel: 519-271-0250 ext. 5237.

Application

I am interested in serving on the following committee:

Accessibility Advisory Committee

Active Transportation Advisory Committee

Communities in Bloom

Energy and Environment Advisory Committee

Heritage Stratford

Stratford of the World (Ontario) Advisory Committee

If applicable, what business sector or community group are you representing: (example: citizen, retail sector, business sector, youth representative).

Contact Information:

Name:

Address (including City and Postal Code):

Phone Number:

E-mail:

Experience and Qualifications

If you have experience on a Stratford Advisory Committee, please tell us which one and how long you have served on it.

What do you hope to contribute or learn as part of an Advisory Committee?

How will you support the work of an Advisory Committee? How would your professional and/or lived expertise support the work of the Committee?

Please describe any additional skills, qualifications, past experience, training, or community involvement that will help you in your role as an Advisory Committee Member.

Confirmations

I declare the following (check those that apply to you):

I am a resident of Stratford.

I am at least 18 years old.

I am not a City employee or Council member.

I understand that the commitment may be up to 4 hours per month to attend meetings and prepare.

I have reviewed the date and time the advisory committee I am interested in serving on meets and am able to attend on that date/time and in person.

I acknowledge, that if appointed as a member of this advisory committee I am governed by all applicable legislation, City By-laws and policies for the conduct of meetings and activities, including but not limited to: Code of Conduct, Policy for Procurement of Goods and Services, Procedural By-law for the Conduct of Meetings, Policy for Hiring of Employees, Municipal Act and Municipal Conflict of Interest Act, Accessibility for Ontarians with Disabilities Act and Regulations.

By submitting this application for consideration, you are declaring that the information in your application is true.

The City of Stratford is committed to workplace diversity and inclusion, and this commitment extends to our Advisory Committee appointments. An inclusive workplace creates a more supportive environment and ultimately helps us to provide better service to our diverse community.

Aboriginal/Indigenous Peoples are those who identify as members of First Nations (status, non-status, treaty, or non-treaty), Inuit or Metis communities in Canada. Based on this description, do you consider yourself to be an Aboriginal/Indigenous person?

Yes

No

Prefer not to answer

Member of a visible minority means anyone other than aboriginal/indigenous peoples who are non-Caucasian in race or non-white in colour. We recognize that this language is outdated and that the term racialized is becoming more common. The Ontario Human Rights Commission explains that because race has its roots in social, not biological, characteristics and includes much more than skin colour, their preferred term is racialized group or person. We are using the term visible minority, not racialized group, because it is the term used by Statistics Canada in its census data.

Based on this description, do you consider yourself to be a member of a visible minority?

Yes

No

Prefer not to answer

The term disability covers a broad range and degree of conditions, some visible and some invisible. A disability may have been present at birth, caused by an accident, or developed over time. These include physical disabilities, hearing or vision disabilities, developmental disabilities, learning disabilities, chronic illness and mental health disabilities and addictions. A disability may be permanent, temporary, or episodic which may result in experiencing disadvantage or barriers to full participation in society.

Based on this description, do you consider yourself to be a person with a disability?

Yes

No

Prefer not to answer

How did you hear about this opportunity?

City website

Social media (e.g. Facebook)

Friend or co-worker

Printed newspaper advertisement

Other - specify

Municipal Council approves all appointments. The appointment process is governed by Council’s policy on Advisory Committees. For more information, please contact the City Clerk's Office at 519-271-0250 ext. 5237.