Community Advisory Board Membership Application

Brantford-Brant Homelessness System of Care: Community Advisory Board (CAB)

Printed applications can be submitted to CAB@Brantford.ca

Contact Details

Pronouns

First name

Last name

Street number

Street name

Unit number

City

Postal code

Phone number

Email address

Application Questions

1. Why would you like to participate as a member of the CAB?

2. What key skills would you bring to the CAB?

3. Briefly outline your understanding of issues that individuals experiencing homelessness are currently facing locally.

4. Have you served as a board member before? If so, please describe your experience.

5. What do you hope to achieve personally or professionally through your contributions to the CAB?

Please indicate your experience in the following areas:

Participation in meetings that include many different views and organizations

No Experience

Some Experience (1-4 years)

Experienced (5+ years)

Prefer not to answer

Knowledge of local, provincial, and federal homelessness issues and initiatives

None

Some

Very Knowledgeable

Prefer not to answer

Knowledge of local homelessness services

None

Some

Very knowledgeable

Prefer not to answer

Working with diverse populations

No Experience

Some Experience (1-4 years)

Experienced (5+ years)

Prefer not to answer

Knowledge of housing markets and trends

None

Some

Very knowledgeable

Prefer not to answer

Other experience

Other experience rating

No Experience

Some Experience (1-4 years)

Experienced (5+ years)

Prefer not to answer

Other experience

Other experience rating

No Experience

Some Experience (1-4 years)

Experienced (5+ years)

Prefer not to answer

Lived experience of homelessness

No experience

Work experience

Lived experience

Prefer not to say

LGBTQ2S+ Community

No experience

Work experience

Lived experience

Prefer not to say

Indigenous Community

No experience

Work experience

Lived experience

Prefer not to say

Resident or work experience in County of Brant

No experience

Work experience

Lived experience

Prefer not to say

Health sector

No experience

Work experience

Lived experience

Prefer not to say

Landlord association or housing sector

No experience

Work experience

Lived experience

Prefer not to say

Organization that serves those experiencing homelessness

No experience

Work experience

Lived experience

Prefer not to say

Domestic violence sector

No experience

Work experience

Lived experience

Prefer not to say

Youth/youth sector

No experience

Work experience

Lived experience

Prefer not to say

Private sector

No experience

Work experience

Lived experience

Prefer not to say

Seniors

No experience

Work experience

Lived experience

Prefer not to say

Veterans

No experience

Work experience

Lived experience

Prefer not to say

Please share any other information not previously mentioned to support your application