Required fields are marked with asterisks (*)

Community Delegation Request

Is the subject matter concerning policy setting, principles, rules and guidelines affecting the Township's long term goals and objectives?

Yes

Is the subject matter involving operational services, system or tools affecting the community such as speed mitigation, grass cutting, sidewalk repair, recreation programs etc.?

Yes

Please provide background information to support your request.

Council approved goals from the Strategic Plan include:

Create the Conditions for Economic Prosperity
Improve the Activity, Health and Wellness of our Community
Managing Growth while Enhancing the Community's Unique Character
Championing Environmental Stewardship
Provide Innovative and Sustainable Governance

Explain how your request aligns with Council's Goals.

What are the financial implications of your request that Council should be aware of?

Have you had discussions with (check all that apply):

Township Staff

Mayor and/or Council

Other Community Groups

Other Citizens

None

If you have had discussions with one of the above, please indicate who and provide any additional relevant details

Name

Group or Organization (if applicable)

Daytime Phone Number

E-mail

Personal information provicded on this form is collected by the Township of Centre Wellington under the authority of the Municipal Act, 2001. The information will form part may form part of a Council Agenda, be available to the public and posted on the Township website. Questions regarding the collection, use and disclosure of this personal information may be addressed to the Deputy Municipal Clerk, Lisa Miller at 1 MacDonald Square, Elora or by calling 519.846.9691 x242