Contact Information Name Address Address Address 2 City/Town State/Province - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauSaint Pierre and MiquelonPuerto RicoVirgin Islands ZIP/Postal Code Phone Number Email Address Interest and Experience Why are you interested in serving on the Sioux Lookout OPP Detachment Board? What past and current experience will you be able to draw on as a Board Member? Why do you believe you will be a good fit for this role? Please provide a brief description of your community involvement. Meeting Preferences Appointment to the Board will require your attendance at regularly scheduled meetings. Are you available for (select all that apply) Evening Daytime All of the above Meetings are usually virtual or hybrid. If the Board prefers meetings to be held in person, please indicate your availability I would be available for in-person meetings, but not virtual meetings. I would be available for virtual meetings, but not in-person meetings. I would be available for either in-person or virtual meetings. Eligibility Please check each box to confirm that you have read and will maintain the following eligibility criteria I am 18 years of age or older. I am a resident of Sioux Lookout I agree to submit a Police Record Check if my application is conditionally accepted. I have read the Code of Conduct (https://www.ontario.ca/laws/regulation/r23409) prescribed for members and agree to abide by it, if appointed. I confirm that I am not disqualified from appointment by virtue of being any of the following: A judge or justice of the peace A member of a police service, a special constable or a First Nations Officer A person who practices criminal law as a defence counsel or as a prosecutor A director, officer, or employee of a prescribed policing provider or either of the municipalities within the area served by the Sioux Lookout OPP Detachment (Sioux Lookout or Pickle Lake) A former member of the Ontario Provincial Police (OPP) services A former member of any other police service appointed under the Community Safety & Policing Act (or the former Police Services Act), and less than one year has passed since I ceased to be a member of the police service I confirm that I have read and understand the “Additional Information” available on the Notices section of the Sioux Lookout OPP Detachment Board webpage. I confirm. By signing your name in the field below, you are digitally signing and confirming that your application is true and complete. Sign above If you have any questions, please contact Mary L. MacKenzie, Special Projects Consultant, Municipality of Sioux Lookout.[email protected]807-737-2700, ext. 9008.Personal information gathered through this application is collected under the authority of and in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), and will be used only for selection of a candidate for the Sioux Lookout OPP Detachment Board. Any questions about the collection of information can be addressed to: Mr. Brian P. MacKinnon, FOI Coordinator, Municipality of Sioux Lookout, [email protected].
