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Registration Form: Presentation to the Central East LHIN Board of Directors

Registrations must be received thirty (30) working days before the date of a Central East LHIN Board Meeting.  A maximum of two people can form a delegation.  A delegation will be allocated a maximum total time of fifteen (15) minutes to speak.  Members of the Board of Directors may ask questions or seek clarification after a delegation has spoken.   Delegations are reminded that no decisions on any issue presented will be made at the Board meeting by the Board of Directors. 

Please answer the following questions: 

Dates:

Today's Date:    [None] Select a Date Delete the Date  

Board Meeting Date:   [None] Select a Date Delete the Date  

Contact Information:

Primary Delegate 

Name

Telephone Number (daytime)

Email

Secondary Delegate (optional) 

Name

Telephone Number (daytime)

Email

I would like to make a delegation to speak ONLY on my own behalf.

I would like to make a delegation as a spokesperson to speak on behalf of another organization. 

Name of organization :

Details of Delegation:

Please provide a brief summary of the subject of the delegation. (maximum 250 words)

 

Please indicate how the subject aligns with the LHIN's current Strategic Aims and/or Strategic Directions. (maximum 250 words)

   

Please indicate the anticipated outcome of the delegation.  Why do you want to address the Central East LHIN Board of Directors? (maximum 250 words)

  

Will you be using a powerpoint slide deck or speaking notes during your delegation? (Please note that hard and/or electronic copies of any information to be presented at the Board meeting must be provided one week in advance and will be posted on the LHIN's public website following the Board meeting.)