Social Development, Finance & 2017 TSNS 2020 RESIDENT Administration Division ADVISORY COMMITTEE REGISTRATION Member Information First Name Last Name

Street # Street Name Suite/Unit #

Toronto, ON Postal Code: Telephone #:

Neighbourhood: Network/NAP/ Planning Table: Email:

Support requested to participate: Please indicate by checking (✔) the box for each area that you require support to participate on TSNS 2020 Resident Advisory Committee:

Transportation (TTC Token)

Child Minding

Dietary Restrictions: ______

Other:______

Resident Advisory Member Responsibilities Please indicate by checking (✔) the box for each area that you understand and agree to the responsibilities of a TSNS 2020 2017 Resident Advisory Member. I will attend all meetings scheduled for the Advisory Committee.

1 will respect all voices and opinions.

I will declare any conflicts of interest to the Committee. I will be participate in the local planning process in my Neighbourhood Improvement Area or Emerging Neighbourhood.

Authorization Advisory Applicant Signature Date (yyyy-mm-dd)

______* I understand and agree to the above stated responsibilities of a Strong Neighbourhoods Strategy 2020: 2017 Resident Advisory Committee Member.

To submit your application: Please contact a TSNS 2020 Community Development Officer listed on the attached page. Notice of Collection

The personal information on this form is collected under the legal authority of the City of Toronto Act, S.O. 2006, Chapter 11, Schedule A, s. 136 (c). The information is used to administer the honorarium program and to ensure proper financial accounting and compliance with financial by-laws and Revenue Agency requirements. Questions about this collection can be directed to Director Community Resources – Social Development, Finance and Administration, Toronto City Hall, 100 West, East Tower – 14th floor, Toronto, , M5H 2N2 or by phone at 416-392-9125.

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Community NIA or Emerging Development Cell Email Neighbourhood Neighbourhood Planning Table Officer (Members per table) East District / Kennedy EEKPI NAP Park/ (3)

Janvere Lyder 647-216-2152 [email protected] (1) Dorset Park Network Steeles and L'Amoreaux Strength in Partnership (2) , Woburn, Kingston South East Scarborough Planning Galloway/Orton Park

Sherry Phillips 416-892-3119 [email protected] (West Hill), Mornelle Table Court (Morningside) (4) Malvern (1) MNAP North District , , Don Valley NIAs (3)

Rebecca Bassey 416-895-9230 [email protected] Westminster Branson (1) Bathurst Finch Network Yorkdale Glen Inter-Organization Park/Englemount Network Lawrence (2) West District Weston, , Rose-Ann Bailey Beechborough York South Weston NIA Network Not Available [email protected] Greenbrook (3) Rustic (1) Rustic NAP /Jane To Be Announced Glenfield Heights (2)

Rosemary Bell 416-889-1285 [email protected] Rodding (1) DR NAP YUH NAP (1) Pelham Park (1) PPNAP [email protected] Rockcliffe Smythe (1) Ann Clarke 416-320-8636 RNAP - The KV NAP Westway (1) , Elms-Old , - Beaumoud Heights,

Wayne Robinson [email protected] Rexdale NAP 416-206-1553 Mount Olive-Silverstone- Jamestown, , (5) South District Taylor Massey/Oakridge Taylor Massey Oakridge NAP (1) Parkdale Economic Development

Sarosh Anwar 416-206-1552 [email protected] South Parkdale (1) Project (1) SDP Stakeholder Table

Notice of Collection

The personal information on this form is collected under the legal authority of the City of Toronto Act, S.O. 2006, Chapter 11, Schedule A, s. 136 (c). The information is used to administer the honorarium program and to ensure proper financial accounting and compliance with financial by-laws and Canada Revenue Agency requirements. Questions about this collection can be directed to Director Community Resources – Social Development, Finance and Administration, Toronto City Hall, 100 Queen Street West, East Tower – 14th floor, Toronto, Ontario, M5H 2N2 or by phone at 416-392-9125.

21-0123 2015-04