Delegation Request Form - Town of Goderich

Required fields are marked with asterisks (*)

Council & Committee Meeting Delegation Request Form

What is a Delegation?
- A delegation allows individuals or groups to present to Council or a Committee on matters concerning the Town. Use this form to request to appear before Council or a Committee.
Steps to Participate:
1. Complete the Request Form: Fill out the required fields below.
2. Submission Deadline: Submit your form and presentation materials by 4 PM, ten days before the meeting date.
3. Confirmation: After submitting the form, the Clerk’s Department will contact you to confirm your scheduled appearance and provide additional instructions.

Date of Request

Meeting Type:

Council

Economic Development Committee

Municipal and Marine Heritage Committee

Mid-Huron Recycling Centre Board

Mid-Huron Landfill Site Board

Town of Goderich 2027 Bicentennial Committee

Contact Information:

Phone Number:

Email Address:

Full Mailing Address:

Speaker Details:

Name of Speaker(s):

Title & Organization Represented (if any):

Purpose of Presentation

Information Only

Request Support

Other

Key Points of Discuss:

Desired Outcome from Council or Committee:

Upload Presentation Materials:

Browse…

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

Signature

Clear

Date

Final Steps:

Double-check all information before submitting.
Review the attached privacy notice concerning your presentation materials.
If necessary, contact the Clerk’s Office for assistance or further questions.

Privacy Statement:

All information submitted is collected under the Ontario Municipal Act and will be public information and therefore subject to full disclosure, under the Municipal Freedom of Information and Privacy Act. Please be advised that information related to delegations, including the names of presenters, will become part of the public record, and will be placed on the public agenda and made available through the Town’s website.