Required fields are marked with asterisks (*)

Deputation Request

The Deputation Request and any presentation material must be submitted by 9:00 a.m. 7 calendar days prior to the preferred meeting.

All presentation material will be attached to the public agenda.

View our meeting schedule.

Preferred Meeting Date:

Name of Requester:

I am requesting deputation to speak (select one):

On my own behalf.

On behalf of a group/organization.

Name(s) of Speaker(s). A deputation wishing to appear before Council/Advisory Body shall be limited to no more than two (2) speakers with a total speaking time of not more than ten (10) minutes:

Name:

Will a PowerPoint presentation be made?

Yes

Have you provided a deputation on this matter in the past?

Yes

Subject of Presentation

Please describe below, the subject matter of the requested presentation in sufficient detail, to provide the Municipality a means to determine its content and to assess its relative priority to other requests for presentation. Weight will be given to those requests that provide more detailed descriptions of the content of the presentation, particularly defining how the subject matter aligns with Council’s Strategic Plan.

Describe the subject matter you wish to present:

Reason why this presentation is important to Council and the Municipality:

Please identify the type of action you are seeking of Council/Advisory Body on this issue.

No Action, e.g., awareness of a topic or organization.

To Request Action.

Attach your presentation material here: (5 MB limit)

Browse…

Allowed extensions pdf, ppt, pptx, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Contact Information:

Address:

Telephone:

E-mail:

In submitting a Deputation Request, you are acknowledging:

It is the responsibility of the requester/presenter to ensure that they have received consent for any third party information.

The completed deputation request and presentation material will be published in their entirety in the public agenda available through the Municipality's website.

Scheduling will be at the discretion of the Clerk, and will be confirmed no later than the last business day of the week prior to the meeting.

There are no guarantees that by requesting a certain date(s) your deputation will be accepted, as prior commitments may make it necessary to schedule an alternate date suggested by the Clerk.

Notice of Collection: Personal information contained on this form is collected pursuant to the Municipal Act, 2001 and the Municipal Freedom of Information and Protection of Privacy Act, and will be used for the purpose of considering the Application and creating a public record. Submission of the Application acknowledges that "personal information [is] collected and maintained specifically for the purpose of creating a record availble to the general public" per Section 14(1)(c) of the Municipal Freedom of Information and Protection of Privacy Act. Enquiries regarding the collection of this information may be directed to the Office of the Clerk, Municipality of Trent Hills, 66 Front Street South, P.O. Box 1030, Campbellford, ON K0L 1L0 705-653-1900.

Land Acknowledgement

We recognize the traditional keepers of this land and, specifically our neighbours of the Alderville First Nation, with a formal territorial acknowledgement.

Welcome to the Gunshot Treaty Lands of 1788. It is on these lands and on the shores of the big lake, the Mississauga Anishinabeg met with the Crown to facilitate the opening of these lands for
settlement.

Let us be reminded of the responsibility we all have in making sure that we respect these lands and waters that give us life and sustain our livelihoods.