Apply to Present to Council

Under section 3.14 of By Law A.01, a member of the public may submit a request to address council.

You can use this form to submit your request to present.

As per By-Law A.01, please note the following:

Instead of using this form, you can also send your request via email: admin@5-rivers.ca.
Your request must be received by the clerk at least 8 days before the start date of the council meeting.
Presenters have up to 10 minutes to address council during the meeting.
Council has the right to refuse any presentation.

For more information, please see By-Law A.01.

Name *

Address *

Phone Number *

Email *

Have you been a resident of the Five Rivers for at least six months?

Who are you representing? *

Tell us about the topic you seek to present to council. *

Does the topic regard a past or pending decision of council? If yes, please explain. *

Does the topic relate to a current or proposed by-law or policy? If yes, please explain. *

Are you seeking financial support or in kind support from Five Rivers? * Yes
No
Not Sure

If "yes", what type and level of support do you seek?

File Attachments

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

By clicking submit, I declare that I understand that an appointment to a City's committee or commission is a voluntary , appointed position to be confirmed by the City Council. I further understand that this application is public information and that the merits of my appointment may be discussed at a public forum. In addition, my name may be published in a newspaper or other media outlet.

* - denotes required field