Application Form - Parks and Recreation Board
Program:        HEPBURN AND DISTRICT PARKS AND RECREATION BOARD
Term:              Begins Fall 2022 - September 2022 to August 2023 - minimum one year term
Ages:              19 years and up
Timeslot:        Monthly Meetings, 1st or 2nd Monday of the Month, 7:00-8:30pm
Location:        HERITAGE COMMON
Open:              September 12, 2022
Deadline:        As Needed

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Email *
Participant Name *
Phone Number *
What Age Bracket Do You Represent? *
How Long Have You Lived in Hepburn & Area? *
What Subcommittee or Specialty Interests Do You Have?  Select all that apply. *
Required
What Types of Activities Would Like to See in Hepburn?    List your suggestions. *
What Relevant Experiences or Training Would You Bring to the Board?
*IMPORTANT DATES:  1.  Application Deadline - October 10, 2022.   2.  Application Review - October 11, 2022.   3. Notification - October 2022.   4. Official Acceptance of New Members - November 7, 2022 at Annual General Meeting.    *NOTE: The Board reserves the right to extend the deadline if suitable candidates are not available, or for other scheduling factors.                         *I have read and understood the process above (Please date and initial below) *
A copy of your responses will be emailed to the address you provided.
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