My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Application for ECAAC members 2010-2014
COE-Web
>
PUBLIC DOCUMENTS
>
Accessibility Documents
>
Seeking ECAAC Members for 2010-2014
>
Application for ECAAC members 2010-2014
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/13/2013 3:22:12 PM
Creation date
10/27/2010 1:03:09 PM
Metadata
Fields
Template:
H - Human Resources
H - Human Resources - Date
10/28/2010
Type
Resume
H - Human Resources - Description
Blank Application for Appointment to Essex County Accessibility Advisory Committee 2010-2014
H - Human Resources - Department
Council Services
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
APPLICATION FOR APPOINTMENT TO <br />ESSEX COUNTY ACCESSIBILITY ADVISORY COMMITTEE <br />Please complete the following application by 4:30 p.m., December 3 2010 and <br />submit to: <br />Mary Brennan <br />County of Essex <br />Suite 202 <br />360 Fairview Avenue West <br />Essex, Ontario <br />N8M 1Y6 <br />ELIGIBILITY CRITERIA (please check the boxes applicable to you) <br />PERSONAL DATA ❑ Mr. ❑ Mrs. ❑ Ms. <br />MAILING ADDRESS AND CONTACT INFORMATION <br />Name <br />Address <br />Postal Code <br />Telephone: (519) 776 -6441 Ext. 335 <br />Fax: (519) 776 -4455 <br />E -mail: mbrennan@countyofessex.on.ca <br />Website: www.countyofessex.on.ca <br />I am a resident or owner /tenant of land in Essex County <br />I am a Canadian Citizen <br />I am at least 18 years old <br />I am not an employee of the Corporation of the County of Essex <br />I am not prohibited by law from voting in a municipal election <br />I am a person with a disability <br />I am a professional from the disability stakeholder community <br />Telephone # (Home) (Business) <br />Fax E -mail Address <br />EXPLAIN WHY YOU WOULD LIKE TO SERVE ON THE ESSEX COUNTY <br />ACCESSIBILITY ADVISORY COMMITTEE (attach a separate sheet if necessary) <br />
The URL can be used to link to this page
Your browser does not support the video tag.