Deputation Request / Invited Presentation Application Form

A Guide to Communicating with Town Council or a Committee of Council. Please note that most presentations are televised and information on this form may be made available to the public.

Meeting Details

Meeting Date

Subject

Presenter Details

Name of Person(s) to Appear (maximum two – to be listed on the agenda)

Name of Group Organization (if applicable)

Mailing Address

Town / City

Province

Postal Code

Phone

Extension #

Alternate Phone

Extension #

Email Address

Alternate Email Address

Name of Person Requesting Appearance (if different from person appearing)

Phone Number of person appearing

Extension #

Deputation Details

Brief Statement of Purpose of Deputation

Specific Action to be Requested of Council / Committee

No (For Information Only)

Yes (Action is Required of Council / Committee)

Presentation Type

Verbal

Power Point

Other

Presentation Location

I will attend the meeting in person

I will attend the meeting virtually (Zoom meeting link to be provided)

Document Upload

All presentations must be submitted by this form in advance of the meeting.

Note: The maximum file size is 10MB. If your attachment(s) exceed the allowable file size, please contact the department by telephone at 705-789-1751 to arrange for an alternate method of sending the large documents

Please attach your letter or presentation to this request.

Browse…

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

Do You Have Accommodation Needs? (ie. wheelchair)

Yes

No

Authorization

Please check that you have read and understand...

Maximum Time Permitted for Deputations is 10 Minutes including a question period

All Presentation Documents will be submitted to the Recording Secretary prior to the meeting and will be made available to the public.

USB devices are not permitted.

Collection of Information

Personal information on this form is collected under the legal authority of the Municipal Act, S.O. 2001, c.25, as amended. The information is collected and maintained for the purpose of creating a record that is available to the general public pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act.

Please note that all presentations are live streamed and information on and attached to this form may be made available to the public.

Submit this form online or to: Town of Huntsville, Clerk’s Department
37 Main Street East, Huntsville, Ontario, P1H 1A1
clerk@huntsville.ca Fax: 705-789-6689