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Community Fire Hall Advisory Select Committee
The application period is now closed. Thank you.
Apply to be on the committee
First Name
Last Name
Street Number
Street Name
Email
Phone
1. Please select the Land Use Category you represent
Residential
Commercial/Industrial
Agricultural
2. Are you an authorized representative of one of the following: CVRD, Cowichan Tribes, Cowichan Bay Water Works District?
No
CVRD
Cowichan Tribes
Cowichan Bay Waterworks District
3. Are you a registered landowner, resident, or renter within the Cowichan Bay Improvement District?
No
Own
Rent
Resident
4. Have you read the
Terms of Reference
?
Yes
No
5. Are you willing to commit to a minimum of two meetings a month for a three-month term?
Yes
No
6. Do you consent to your name, comments and images become part of the public record (e.g. website, “ASC” meeting minutes, reports, publications, social media, media releases and external media coverage)?
Yes
No
7. Do you have specific interest and/or experience in Fire and Emergency Services Delivery?
Yes
No
If yes, please provide details
8. Do you have specific academic or technical qualification, work experience, knowledge or professional expertise that would benefit this process?
Yes
No
If yes, please provide details
9. Do you have Skills and experience related to building and development and/or project management?
Yes
No
If yes, please provide details
10. Do you have an interest in sustainable community growth and development?
Yes
No
11. Please provide any additional comments or details for the Board to consider when reviewing your application:
Voluntary Self-Identification Questions
12. What age demographic best describes you?
Under 30
31-50
51-65
Over 65
Copies of all applications will be made available to CBID Board Members and staff, for the sole purpose of making appointments to the ASC. Your information is being collected in accordance with section 26 of the Freedom of Information and Protection of Privacy Act.
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The application period is now closed. Thank you.
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