Senior Advisory Committee Application form
2016-2018
1 Instructions

 

The form must be completed and submitted in person
to the Communications Department
or scanned and sent by email
or completed online

Parc nature Les Forestiers-de-Saint-Lazare
Pool Building (2nd Floor)
2800 chemin Lotbinière
Saint-Lazare (Québec) J7T 3H9


450 424-8000 ext. 246
ghamel@ville.saint-lazare.qc.ca
 
2 Information on Senior Advisory Committee

 

Mission
The Senior Advisory Committee is not a decision-making committee but rather a "source of reflection and proposals" which takes into consideration the needs of a group that is a growing part of our population. The Senior Advisory Committee provides recommendations and possible solutions for dealing with issues encountered by seniors in their daily lives with a view to ensuring their well being, and allowing them to flourish. The elder council is not a decision-making committee but rather a "source of reflection and proposals" which takes into consideration the needs of a group that is a growing part of our population.


Objectives
By providing their recommendations and proposals, the members of the senior advisory committee must:

- consider the real needs of Saint-Lazare's seniors
- favour the physical, psychological, emotional and social autonomy of seniors
- favour the involvement of seniors
- provide support to vulnerable seniors
 
3 Information on the candidate

 

Last name


Restricted abilities *

(e.g.: mobility, visual or hearing impairment, other)
Yes No


Age group *

     60 to 70 years
     71 to 80 years
     81 years and over

Gender *

     Female
     Male
     Other




*The Town wishes to recruit members of varying ages,
gender identities and abilities as a way of ensuring
that the needs of all seniors are considered.

 

First name


 

Address


 

City

Saint-Lazare

 

Province

Québec

 

Postal code


 

Home phone


 

Cell phone


 

Email

 
4
Motivation

 

Describe in a few words what motivates you to join this committee:
 
 


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