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FCSS Good Neighbour

Tell us about yourself!

Nominator Information. Please provide your contact information below:

Name (First and Last):

Street Address:

Email:

Phone:

I prefer to keep my nomination anonymous. Note: In order to ensure an orderly nomination process, your information is still required. By remaining anonymous, the nominee will not be informed who submitted their name for consideration.

Yes

Who would you like to nominate?

Please provide the contact information of the neighbour you wish to nominate:

Please note: Nominee contact information is required as the City will need to contact them to ensure they wish to participate in the Fort Saskatchewan Good Neighbour.

Nominee's Name:

Nominee's Street Address:

Nominee's Email:

Nominee's Phone:

Good Neighbour Story: Let us know why you are nominating this neighbour.

This personal information is being collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act and will be used to facilitate the City of Fort Saskatchewan Good Neighbour. It will be treated in accordance with the privacy protection provisions of Part 2 of the Act. If you have any questions about the collection, please contact the FOIP Coordinator for the City of Fort Saskatchewan at 780-992-6200, or by mail at 10005 102 Street, Fort Saskatchewan, Alberta T8L 2C5.