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2. Preferred Commission, Board, or Committee:
4. Preferred Volunteer Term (if applicable):

   1. 1 Year
   2. 2 Years
   3. 3 Years
6. Recommended by/Reference:
8. Volunteer Name:*
10. Resident of:*

    1. City of Lacombe
    2. County of Lacombe
    3. Other
12. Address:

    Unit #, Street #, Street, City, Province, Postal Code

14. Primary Phone Number:*
16. Secondary Phone Number:
18. Email:*
20. Please describe your previous experience, paid employment, or volunteer:*
22. What skill set(s) you would bring to the organization:
24. Resume Upload

    If available, please attach a resume to this application. As many persons are not personally known by members of Council, and to assist City Council in appointing representatives, a personal resume is suggested to be submitted along with this form.

26. Declaration*

    By submitting this form, I acknowledge that I am aware of the requirements of this volunteer position, and the terms of the position and am prepared to abide by them. I also acknowledge that the details of my application an attached resume (if applicable) are true and complete.

    1. I agree
28. FOIP Notice

    The personal information that you provide to the City of Lacombe is collected under the authority of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act – Section 33(c). The information will be used for the purpose of managing the response(s) to this request/inquiry. Collected personal information is protected from unauthorized access, col lection, use, and disclosure in accordance with the FOIP Act, and can be reviewed and corrected upon request. Questions regarding the collection of personal information can be directed to: FOIP Coordinator, City of Lacombe, 5432-56 Ave, Lacombe, AB T4L 1E9, Telephone 403-782-6666 or foip@lacombe.ca.

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field