MyImpactPage - Application Form - Citizen Appointments to Committees

Notice of Collection

Collection of Personal Information

The personal information on this form is collected under the authority of Section 11 of the Municipal Act, 2001. The information will be used for determining your eligibility for a volunteer placement and for administering and managing the City’s and the Library’s volunteer programs. Questions about this collection can be directed to the Manager of Legislative Services and Deputy Clerk, Office of the City Clerk, 300 City Centre Drive, Mississauga, ON L5B 3C1. Telephone: 905-615-3200 ext. 4516. Email: citizen.appointments@mississauga.ca.

I am new to MyImpactPage.com

You will need to enter a unique username to identify yourself to the system. You should select something that is easy for you to remember such as your email address or your name. Your username must be at least 6 characters long. If the name you enter is already in use by someone else, you will be prompted to choose another username.

Username

Required

	Username must not start with space
	Username must not end with space
	Username must not have two or more spaces in a row

Email Address

Required

Verify Email Address

Required

I agree to the City’s notice of collection. Required

I already have a username

If you have signed up with this organization before, or are a member of another organization that uses MyImpactPage.com, you can use the same login to access all organizations with which you are associated.

Username	Required
Password	Required
Forgot your username or password?
I agree to the City’s notice of collection. Required

Already use MyImpactPage.com to volunteer with this organization? Go to volunteer login

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