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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. Volunteer Name:*
8. Resident of:*

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

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

12. Primary Phone Number:*
14. Secondary Phone Number:
16. Email:*
18. Please describe your previous experience, paid employment, or volunteer:*
20. What skill set(s) you would bring to the organization:
22. Recommended by/Reference:
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. Privacy Notice

    The personal information being collected is for managing volunteer applications, and may, now or in the future, be used in accordance with the Protection of Privacy Act section 5(2)(d). This collection is authorized by the Protection of Privacy Act section 4(c). For questions about the collection and use of personal information, you may contact the City of Lacombe’s Privacy Officer or Access to Information Coordinator at privacy@lacombe.ca or call 403-782-6666.

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