Appear as a Delegation Form

Request to Appear as Delegation

I acknowledge and understand that the meeting at which I wish to speak is a public meeting, and by requesting to speak and by disclosing personal information in my oral or any written presentation I consent to the disclosure of that information as reasonably necessary by the Regional District of Nanaimo for purposes of administration and operation of the service to which my presentation relates. I am also asserting that the presentation is in compliance with the Federal Copyright Act, and grant the RDN license to publish these materials.

Please note affiliated organization if applicable. Multiple presenters may be listed.
Will you be using a Power Point presentation?
If yes, you are required to submit the presentation materials to by 11:00 a.m. on the day of the meeting.
Delegations must state the specific action which is being requested.
Delegations must provide an executive summary of up to two (2) pages for inclusion in the agenda package.
Virtual attendance is an option for attendees who have symptoms of a communicable disease (e.g., fever or chills, coughing, diarrhea) so they can avoid being at the event when sick. Please contact as soon as possible should your plans change.
  • Name of presenter, subject of presentation, action being requested and executive summary of presentation will be made public and will be available for review by Directors in advance of the Meeting. Audio/visual presentations will become public when shown at the Meeting and will be reviewed in advance by authorized staff and Directors as necessary.
  • Additional information collected on this form will only be used by authorized staff for contact purposes. Personal information collected by the RDN is protected in accordance with the Freedom of Information and Protection of Privacy Act.
  • For additional information, please contact RDN Legislative Services at 250-390-4111/toll-free: 1-877-607-4111, 6300 Hammond Bay Road, Nanaimo, BC, V9T 6N2, Fax: 250-390-4163