Online Forms

2. 
3. Board/Committee Application Form
   for Town of Hinton Boards and Committees
7. Personal Information
9. Name
10. Date
12. Application for:
    (Board or Committee you would like to be considered for)
14. Address1
16. Address2
18. City
19. State
20. Postal Code
22. Phone (mobile)
23. Phone (home)
27. Background Information
29. How long have you lived in Hinton or the surrounding area?
31. Please provide an overview of your professional or occupational background:
33. What skills, strengths, or expertise will you bring to this board/committee?
35. Why are you interested in serving on this board/committee?
37. Please list previous experience on boards/committees, or with volunteer positions:
39. Are you currently serving on a board/committee?

    1. Yes

    1. No
41. If yes, please describe below:
45. References
47. Reference #1 Name
48. Reference #1 Email
50. Reference #2 Name
51. Reference #2 Email
55. Confirmation
    I, the above applicant, hereby certify that the information as presented above is truthful and accurate to the best of my knowledge. I understand that offering falsified information may remove my candidacy from the application process.
57. Confirmation*
    Type your name, in full, confirming your understanding of the above message, as well as your understanding of the information collection protocols detailed below.
59. The personal information is being collected under the authority of Section 32 (c) of the Freedom of Information and Protection of Privacy Act and will be used solely for administering the affairs of the Town of Hinton. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect it. If you have any questions about the collection contact the Legislative & Administrative Assistant at 780.740.8059.
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field