Neighbourhood Recognition Program Interest Form: Town of Canmore

Neighbourhood Recognition Program Interest Form

This form should be completed by the person who will assume the role of the Neighbourhood Champion. You do not need to already have a Neighbourhood Committee established in advance of completing your expression of interest in the program. You do, however, need to complete your FireSmart 101 Training in advance of submission.

Neighbourhood Champion Information

First and Last Name *

Email Address *

Phone Number *

Mailing Address *

Please upload a copy of your FireSmart 101 Training Certificate *

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The maximum total size of all files in a single form submission is 1 GB.

Neighbourhood Information

Neighbourhood Name *

Neighbourhood Location *

Approximate number of units within the neighbourhood *

Please note that neighbourhoods with greater than 50 units will be split.

Has your Neighbourhood established a FireSmart Committee? *

Yes

Would You Like to be Connected with the Biosphere Institute of the Bow Valley to help you establish a FireSmart Committee or plan an information night? *

Yes

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Neighbourhood Recognition Program Interest Form