PIAC Ward 10 Election Nomination Form

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The purpose of PIAC is to support, encourage and enhance parent engagement at the board level in order to improve student achievement and wellbeing. O. Reg. 330/10, s. 6.

PIAC Ward Representatives and Alternates are advocates who:
· Provide information and advice on parent engagement to the TDSB;
· Communicate with and support school councils of schools; and
· Undertake activities to help parents of pupils of the board support their children's learning at home and at school.

This nomination form is for the PIAC Ward Election in Ward 10 for the Parent Representative and Alternate positions.

The deadline to submit the Nomination Form is: January 15, 2021

A list of candidates and their bios will be posted on January 21, 2021

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REFERENCES:

List of TDSB Wards - https://www.tdsb.on.ca/Find-your/School/PDF-Map

Email *

First Name *

(Enter your Legal First Name, as provided to your child's school.)

Last Name *

(Enter your Legal Last Name, as provided to your child's school.)

Street Address *

Postal Code *

Phone Number

(Please list the best phone number to reach you.)

I wish to declare my candidacy for the following position: *

Ward Representative

Ward Alternate

Required

Expression of Interest

(Please include a brief bio and description of your interest in PIAC.)

Declaration of Eligibility

As defined by the Ontario Regulations 612/00 and 330/10, the candidate shall be a Toronto District School Board parent or legal guardian AND meet at least one of the following criteria: (1) Nominee’s child(ren) attends school in the ward; (2) Nominee’s child(ren) lives in the ward; OR (3) Nominee resides in the ward.

I declare that I am a TDSB parent or legal guardian AND meet at least one of the following criteria: *

(Select all that apply.)

My child is enrolled in a school in this TDSB ward.

My child resides in this TDSB ward.

I reside in this TDSB ward.

Required

Child's Name *

(Enter your child’s legal full name as provided to the school.)

Child's Street Address *

Child's Postal Code *

Child's School *

Declaration of Perceived or Implied Conflict of Interest

(Please note that response does not affect eligibility.)

Are you an employee of the TDSB? *

Yes

Signature

Confirmation of Information *

I confirm that the information as provided in this Nomination Form is accurate and complete.

Notice Regarding Collections, Use and Disclosure of Personal Information by the Toronto District School Board *

Personal information on this form is collected under the authority of Ontario Regulation 612/00 (School Councils and Parent Involvement Committees) under Education Act, R.S.O. 1990, c. E.2, as amended and will be used by Toronto District School Board (“TDSB”) to determine eligibility, plan the election process, gather nominations and run the election. The information is retained in accordance with Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M56 and will be disclosed to authorized TDSB staff and TDSB’s Parent Involvement Advisory Committee (“PIAC”) in order to administer the above purposes. Questions regarding this collection should be directed to Parent and Community Engagement Coordinator, TDSB Parent and Community Engagement Office at PIAC.Chair@tdsb.on.ca, or at 5050 Yonge Street, Toronto, Ontario, M2N 5N8, or at 416-395-4808.

I have read and agree to the Notice of Collections, Use and Disclosure of Personal Information.

A copy of your responses will be emailed to the address you provided.

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