Delegation Request Form

Individuals requesting to appear at an upcoming Council or General Committee meeting are required to submit this form.

Delegation guidelines

All delegate presentations shall not exceed 10 minutes in length including requests for multiple topics. However, the length of time may be limited by the Chair if a large volume of individuals is expected to speak to the item.
Remarks are to be concise. Discussion on topics other than the subject matter of the delegation request will not be permitted. If a delegate submits multiple requests for the same meeting, consideration will be given in consultation with the City Clerk and Mayor.
Personal attacks or inappropriate language will not be tolerated. The City reserves the right to curtail delegations for disorder or breach of the Procedural By-law.
Where possible, it is requested that one spokesperson represent the similar interests of a group of delegates.
A written copy of the presentation and/or summary of remarks must be submitted to the City Clerk no later than 4 p.m. on the Tuesday prior to the meeting. This allows for any clarification and/or follow-up that may be required.

First name

Last name

Organization name (if applicable)

Email

Phone number

Address

City

Postal code

Presentation information

Topic/request

Please provide a brief overview of the presentation and/or request for Council/General Committee to consider.

Requested date to present to Council/General Committee

Do you have a visual presentation?

Yes

No

Attendance in-person or virtual?

In-person

Virtual

Additional information

Presentation materials

I understand presentation materials, including speaking notes and electronic presentations, must be submitted by email to clerk@welland.ca no later than 4 p.m. on the Tuesday prior to the scheduled meeting.

Please check all

I acknowledge I have 10 minutes to delegate.

I give permission to be audio and video recorded on the City of Welland’s livestream.

I agree to follow Council’s Procedural By-law, and I acknowledge that any disorder or breach of the rules may result in forfeiture of the privilege to delegate.

Do you require accessible accommodation to participate?

Yes

No

Personal information, as defined in the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), collected in connection with the request to appear as a delegate at a City of Welland Council meeting will be used solely for the purposes related to the delegation for the specified meeting and for any consistent purposes, including the delegate’s name and submission being included on the meeting agenda, minutes, and related materials. By providing your information, you acknowledge that all personal information submitted to the City of Welland is being collected under the authority of the Municipal Act and is subject to disclosure under the Municipal Freedom of Information Act. Questions about this collection, use, and disclosure of this personal information may be directed to the City Clerk at clerk@welland.ca.

Privacy disclaimer

I have read and understand the privacy disclaimer.

The City of Welland is committed to maintaining a safe, inclusive, and respectful environment for all individuals participating in municipal meetings. All delegates, members of the public, and attendees are expected to conduct themselves in a respectful manner, whether participating in person or virtually.

As outlined in the City’s Respectful Public Behaviour Policy, behaviour that includes harassment, verbal abuse, threats, intimidation, or any form of discrimination will not be tolerated. Disrespectful behaviour directed at Council, staff, other delegates, or members of the public may result in the delegation being ruled out of order by the Chair and removed from the meeting.

Comments about individual members of Council or staff, or statements that respond to or critique comments made by them, are not appropriate and should not be included in your presentation or any written materials submitted to Council. Delegations are expected to focus on the issue at hand, not the individuals involved.

Participation in municipal decision-making is a privilege. Individuals who abuse this privilege by failing to act respectfully may have future delegation requests denied by the Office of the City Clerk, and serious incidents may be reported to the appropriate authorities.

Respectful behaviour statement

I have read and agree to the respectful behaviour statement.

Before you click the submit button

Please make sure the information you have entered is correct.