COMMITTEE APPLICATION


Qualifications

To be eligible to serve on the Accessible Committee you must be:

- 18 years of age or older;
- A resident in the City of Kingston or Loyalist Township;
- Lived experiences with barriers to access,

and one of the following:

- Canadian Citizen, or
- Permanent Resident, a person who has been given permanent resident status
by immigrating to Canada but is not a Canadian Citizen, and has
resided in Kingston or Loyalist Township for at least one year.


Do you meet the qualifications above to serve on this Committee?



Personal Information

First Name

Last Name

Email

Phone Number


Address Information

Street Address

Apartment/Unit

City

Postal Code


Status

Are you currently serving as a City of Kingston or Loyalist Township appointee
to a City/Township agency, board, or committee?


Are you an employee of the City of Kingston or Loyalist Township or its
agencies, boards, or committees?


About You

Please provide a brief history of your lived experience
with barriers to access and why you should be considered for
appointment to this committee.