Application for nomination to the Leamington Uptown Business Improvement Area (BIA) board.

The application deadline is Thursday December 3, 2026.

Are you a commercial property owner in the BIA defined area?

Yes

No

Are you a tenant of commercial property in the BIA defined area?

Yes

No

Are you a business owner in the BIA defined area?

Yes

No

Are you an employee/volunteer of an owner or a tenant of commercial property in the BIA defined area? A letter from the employer must be provided in support of the application.

Yes

No

First Name

Last Name

Phone Number

Email Address

Street Address

Apartment or Unit Number

City/Town/Municipality

Province

Postal Code

Occupation

Please upload a résumé or CV.

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

Educational Background (if applicable, list professional credentials)

What skills, abilities and/or specialized knowledge do you have to assist this Committee?

Why are you interested in serving the Municipality of Leamington on this Committee?

What experience do you have in exchanging your views with others and in appreciating the skills, abilities and knowledge of others?

I have read and understand the Terms of Reference for this Committee. I understand that as a Committee Member I will be required to attend mandatory training as organized and provided by the Municipality of Leamington Clerk.

Yes

No

Privacy Statement: : Personal information on this form is collected under the authority of the Municipal Act, 2001. This information is collected for the purpose of screening and
appointing members to Committees of Leamington Municipal Council. Questions about the collection of this information can be directed to the Manager of Legislative
Services/Clerk, Municipality of Leamington, 111 Erie Street North, ON N8H 2Z9. Telephone (519) 326-5761.

Application for nomination to the Leamington Uptown Business Improvement Area (BIA) board.

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