Esso Building Task Force Application Form

The personal information on this form is being collected for the purpose of determining eligibility of an applicant to serving as a member of a Board of Devon Town Council and will be shared with Council and Administration.

The information is collected under the authority of Section 146 of the Municipal Government Act and Section 33 of the Freedom of Information and Protection of Privacy Act. Names, addresses and home telephone numbers of successful applications may be provided to the public.

Contact Information
Your Name

First Name
Last Name
Email Address
Primary Phone
Phone Number
Secondary Phone
Phone Number

Street Address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Resident in Devon for
(years)
Ethnicity
(what do you identify as)
Age
(years)
Are you a member of the LGBTQ2S+ Community?

Yes No Prefer not to say
Employment Information
Currently Employed

Yes No
Employer
Or Previous Employer
Job Title
Occupation
Location
Employment Dates
Start and end dates (month/year)
Job Responsibilities & Accomplishments
A summary of your key duties and responsibilities and any major contributions or results.
Application Information
Professional Experience
Individuals must have a high level of knowledge and experience in the area(s) of building construction, repurposing of buildings, building infrastructure (mechanical, plumbing, electrical), demolition and/or other related areas.
Academic and Professional Qualifications
Volunteer Activities and Community Contributions
Are you currently serving on a Town of Devon board(s)

Yes (describe below) No
Which board are you serving on
Have you served on a Town of Devon Board(s) in the past

Yes (describe below) No
What Town of Devon Board or Committee have you served on
What skills will you bring to the board
What do you wish to accomplish as a board member
Additional information
Please provide three personal references, with daytime contact phone numbers
Application Completion

Thank you for participating in the Town of Devon Board application process.

If you have any questions about the application process, deadlines or appointment announcements, the information will be posted on the town's website at www.devon.ca. Questions and applications may also be referred to Corporate and Legislative Services P: 780.987.8310 E: information@devon.ca
Security Feature

Esso Building Task Force Application Form

Contact Information

Employment Information

Application Information

Application Completion

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