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HISC Membership Application

The Homelessness Initiatives Strategic Committee is an action-focused group that acts as a steward and advocate of the Community Plan to End Homelessness. Use the form below to apply to become a member of the committee.

Full name

Mailing address

City / Town

Province

Postal code

Phone number

Alternate phone number

Email address

Current employer/affiliation

Position held

# of years in position

Why are you interested in joining the HISC committee?

Please tell us about your previous committee experience or leadership roles

What personal experience, skills, connections, resources, or expertise do you have to offer and are willing to use on behalf of this committee? Please list experience you have working in the homelessness sector.

Note: The personal information on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act. The information will be used to process your committee membership application and as contact information. If you have any questions about the collection or use of this information contact the Social Program Advisor at 9909 Franklin Ave., Fort McMurray, Alberta, T9H 2K4, or call 780-743-7000.

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HISC Membership Application