Circle Leader Survey Report

Notice with Respect to Collection of Personal Information

The information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and the Freedom of Information and Protection of Privacy Act. This information will be used for the delivery of Wellington County Learning Centre programs and services; and the maintenance of related databases, registries and related research, in compliance with legal and regulatory requirements. Any questions about the collection of this information should be addressed to Ken Harvey, Circles Coordinator at 1.800.265.7294 x 3062.

Monthly household earned income

For the last 30 days: includes all income: gross wages, child support, pension.

Debt

Cash Assets