The personal information requested on this form is being collected by Council for the purpose of clarifying information provided to the Community Information System. The personal information will be used by Council for that primary purpose or directly related purpose. The personal information collected will not be disclosed unless required by law. If the information is not collected we will be unable to process your application. The applicant understands that the personal information provided is for the purpose of clarifying information provided to the Community Information System and that he or she may apply to Council for access to and/or amendment of the information. Requests for access and/or correction should be made to Council's Privacy Officer.
* denotes required field