Application for City of Belleville

Board or Committee

This application form is available in alternate formats or with communication supports upon request. To submit a request please contact the Clerk's Office by phone at 613-968-6481 or in person at City Hall, 169 Front St. Belleville K8N 2Y8.

Belleville City Council relies on the services of numerous committees and boards to assist with the decision making process.

City Council wishes to ensure that its boards, committees and special committees reflect the diverse nature of Belleville’s population and invites all property owners and/or residents and tenants to consider this opportunity. Council may give preference to applicants that reflect the demographic distribution of the City with particular consideration for members of the public who identify as female or non-binary, or representative of other elements of diversity in our community such as sexual orientation, indigenous status, race, and disability.

The City of Belleville’s procedure requires that any property owner and/or resident or tenant interested in an appointment to a committee or board complete this application form.

Applicants should be aware that all applications received will be considered in public and will be placed on a public agenda. This personal information may be disclosed to the public and to the media by the City of Belleville upon request, and may be included in publicly disclosed committee and Council reports, agendas, and on the City’s website. Personal information collected or submitted is collected under the authority of the Municipal Act, 2001 and will be used in the review of this matter.

All applications must be received in the City Clerk’s office no later than 4 p.m. on Sunday, Feb. 28, 2021. Submissions can be made online, emailed, mailed or dropped off at City Hall.

We appreciate your interest in applying to serve on our committees and boards, however only successful applicants will be contacted.

Council may give preference to applicants that reflect the demographic distribution of the City with particular consideration for members of the public who identify as female or non-binary, or representative of other elements of diversity in our community such as sexual orientation, indigenous status, race, and disability.

Personal information on this form is collected under the authority of the Municipal Act, SO 2001 c25 and may be made public during the appointment process. Questions about this collection of personal information should be directed to the City Clerk, city of Belleville, City Hall, 169 Front Street, City of Belleville, Ontario, K8N 2Y8. Tel.613-968-6481.