PETITION & DELEGATION REQUEST FORM - Habitat for Humanity Victoria

TOWN OF VIEW ROYAL PETITION & DELEGATION REQUEST FORM

*Before completing this form, please refer to the Petition & Delegation Information Package

Request to appear on: 2026 - 05 - 05 (Year - Month - Day)

[x] Council (6:00 p.m.) OR [ ] Committee of the Whole (6:00 p.m.)

Anyone wishing to be placed on an agenda to address Council or Committee of the Whole may apply by delivering a request in writing to the Corporate Officer or Deputy Corporate Officer by 12:00 noon on the Wednesday preceding the meeting date by completing this application form. Council meetings are held on the 1st and 3rd Tuesdays of the month with the exception of August; and only the 1st Tuesday of the month in December, and the Committee of the Whole meetings are held on the 2nd Tuesday of the month with the exception of August.

Each delegation is limited to ten (10) minutes unless extended or reduced by unanimous resolution of Council members present.

Date: March 18, 2026 Email: accounting@habitatvicotria.com Tel #: 250-480-7688

Name of Applicant: Carmen Rempel and Krista Bekkema

On Behalf of: Habitat for Humanity Victoria (Organization, Business, Self, etc.)

Mailing Address: 849 Orono Ave, Victoria, BC V9B 6C2

Local Street Address: Same as above

Details of Presentation: Habitat for Humanity Victoria's affordable homeownership program. How it works, the positive impacts Habitat's program has on the health of the community and ways municipalities can play a role.

(provide additional information as an attachment if required)

I plan to attend: [x] In-person OR [ ] Online via Microsoft Teams *(should you plan to attend online, a guest presenter link will be sent to you upon staff confirmation of your attendance)

I plan to have a presentation: [x] Yes OR [ ] No *(please note all presentations must be in Adobe PDF or PowerPoint format and submitted separately with this completed form. Memory sticks will not be accepted. Please do not include videos or video links as part of your presentation.)

NOTE: Council and Committee of the Whole meetings are public meetings. The information on this form will become part of the public record and will be distributed to Council, staff, media and the public. The information on this form is collected in order to respond to your request to appear before Council. If you have any questions about the collection and use of this information, please contact the Corporate Officer. The agenda is posted on the public notice board at the Town Hall and on the Town’s website www.viewroyal.ca.

Please return completed form to the attention of the Deputy Corporate Officer by fax to 250-727-9551, by email to info@viewroyal.ca or in person to View Royal Town Hall, 45 View Royal Avenue, Victoria, BC V9B 1A2