Advisory Planning Commission (APC) and Board of Variance (BOV) Membership Application Form

· Islands Trust Area · Administrative · 2026

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Bowen  Denman  Hornby  Gabriola  Galiano Gambier  Lasqueti  Mayne  North Pender  Salt Spring  Saturna  South Pender  Thetis 
Application: Advisory Planning Commission/Board of Variance 
 
Name:   Email:  
Address:   Daytime Phone:  
Postal Code:   Evening Phone:  
 
Please indicate the Commission you are interested in joining (check all that apply): 
☐  Advisory Planning Commission ☐  Board of Variance 
☐  Other:  
 
 
If applying for the Advisory Planning Commission, please indicate your area of specialization: 
☐  Planning/Development/Public Administration ☐  Environmental Sciences 
☐  Urban Design/Architecture ☐  Other: 
 
 
Please explain your interest in seeking an appointment: 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
www.islandstrust.bc.ca 
 
 
Galiano, Mayne, North Pender,  
Saturna, South Pender Islands 
 
Victoria Office 
200 - 1627 Fort Street 
Victoria, BC  V8R 1H8 
Ph: (250) 405-5151 
southinfo@islandstrust.bc.ca 
Salt Spring Island, Ballenas-
Winchelsea Islands 
 
Salt Spring Office 
4 - 121 McPhillips Avenue 
Salt Spring Island, BC  V8K 2T6 
Ph: (250) 537-9144 
ssiinfo@islandstrust.bc.ca 
Denman, Gabriola, Gambier, 
Hornby, Lasqueti, Thetis 
 
Northern Office 
700 North Road 
Gabriola Island, BC  V0R 1X3 
Ph: (250) 247-2063 
northinfo@islandstrust.bc.ca 

 
Freedom of Information 
The collection of personal information, for the purpose of processing this application, is authorized under the Local Government Act, Community Charter and section 
26(c) of the Freedom of Information and Protection and Privacy Act.  Enquiries may be directed to a Deputy Secretary at any of the Islands Trust Offices, as noted on 
page 1 of this form. A request for information, under the Freedom of Information and Protection of Privacy Act may be made to: FOI Coordinator, Islands Trust, 200-1627 
Fort Street, Victoria, BC V8R 1H8, Tel. (250) 405-5151 foi@islandstrust.bc.ca 
Please describe relevant background and experience (resumes are encouraged as attachments): 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please describe any similar community involvement: 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Signature:   
 
Date:  
Print Name:

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