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The Corporation of the Township of Centre Wellington

Corporate & Legislative Services

Hearing Officer Application Form

The Township of Centre Wellington is seeking applications for the contracted service position of Hearing Officer for its Administrative Monetary Penalty System (AMPS).

Appointed by Council under Ontario Regulation 333/07, the Hearing Officer serves as an independent, quasi-judicial adjudicator responsible for reviewing appeals of Screening Officer decisions related to municipal by-law penalties and determining whether to affirm, vary, or cancel those decisions.



Hearing Officers are not Township employees and are appointed for the term of Council, or the remainder of the term if appointed mid-term, until reappointed or a successor is appointed. While the role will initially focus on parking-related matters, the Township anticipates expanding the Administrative Penalty Program to additional matters in the future. Applicants should have knowledge of municipal law, administrative decision-making, and adjudicative processes.

1. Applicant Information

Full Legal Name

Preferred Name (if any)

Street Address

City/Town

Province

Postal Code

Phone Number

Email

2. Eligibility Declaration

Please check each box to confirm the following:

Select one

I am not a member of Council.

I am not an employee of the Township of Centre Wellington.

I am not a relative of a member of Council.

I am not indebted to the Township of Centre Wellington.

For the purpose of this application, relative includes spouse, parent, child, step-child, grandchild, grandparent, siblings and children of siblings, aunt, uncle, niece, nephew, in-laws, and any person who lives with the person on a permanent basis.

3. Resume/Curriculum Vitae

Please upload your resume or CV

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I have attached my resume or curriculum vitae.

Yes

4. Qualified Memberships and Credentials

Do you hold any professional memberships, licences, certifications, or credentials relevant to this application?

Yes

No

Do you have any additional credentials you would like to include?

Yes

No

If you hold any additional memberships, licences, certifications, designations, or credentials not captured above, please include them in your resume/CV or upload a supplementary document using the field below, if applicable.

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5. Statement of Qualifications and Relevant Experience

Please summarize your qualifications and relevant experience for the role of Hearing Officer. Your response should address, as applicable:

- adjudicative or tribunal experience;
- experience conducting hearings, trials, or similar proceedings;
- experience interpreting and applying legislation, municipal by-laws, and procedural rules;
- knowledge of municipal law, parking by-laws, privacy/access legislation, mediation, or alternative dispute resolution; and
- any other experience relevant to independent decision-making in a quasi-judicial setting.

Summary of qualifications and experience:

6. Conflict of Interest and Independence Declaration

This declaration aligns with the policy requirement that a Hearing Officer disclose real or perceived conflicts of interest immediately and abide by the Clerk’s direction.

a) Are you aware of any actual, potential, or perceived conflict of interest that could affect your ability to perform the role independently and impartially?

Yes

No

b) Can you perform the duties of the Hearing Officer independently, free of outside influence, partisan interests, and incompatible personal or financial interests?

Yes

No

c) Do you understand that, if appointed, you must immediately disclose any real or perceived conflict of interest to the Clerk or designate and comply with any direction provided?

Yes

No

7. Agent Restriction Confirmation

I confirm that I do not act, and will not continue to act,



as an agent for applicants before the Administrative Monetary Penalty Tribunal or any other Township administrative tribunal, such as the Committee of Adjustment.

Yes

8. Availability Statement

Please confirm the following:

I am available to conduct hearings on the same day every month for the duration of the contract.

I am able to provide services on a part-time, as-required basis.

I am able to conduct hearings virtually.

I am able to attend in person at Township Office, 1 MacDonald Square, Elora, ON, when required.

Please describe any known scheduling limitations (if applicable):

9. Service Delivery Requirements

Please confirm the following:

I hold a valid Ontario driver’s licence.

I am able to maintain a clear criminal record.

I have access to appropriate computer hardware, software, and high-speed internet service required to facilitate hearing reviews and render decisions.

10. References

Please provide a minimum of two references who can speak to your adjudication, legal analysis, impartiality, professionalism, and related experience.

Reference Name:

Title/Organization:

Relationship to Applicant:

Phone:

Email:

Reference Name:

Title/Organization:

Relationship to Applicant:

Phone:

Email:

11. Further Documentation Acknowldgement

If selected, I understand that I will be required to provide:

- a criminal record check; and
- photocopy of government-issued identification to verify identity and residency, such as a driver’s licence, passport, or similar government-issued identification.

I understand that business structure information and HST/business number information may also be required through contracting or onboarding processes for invoicing purposes.

I acknowledge these requirements

Yes

12. Applicant Declaration

I certify that the information provided in this application and any attached materials is true and complete to the best of my knowledge. I understand that, if appointed, I will be required to comply with applicable Township by-laws, policies, procedures, guidelines, and legislative requirements related to the Hearing Officer role.

Signature of Applicant

Clear

Date of Signing

Submit

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The Township of Centre Wellington is located on the Treaty Lands and Traditional Territory of the Anishinaabe and the Haudenosaunee.

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Township of Centre Wellington
1 MacDonald Square, Elora, Ontario, Canada, N0B 1S0
Phone: (phone hidden)
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📌 Hearing Officer Application Form (Elora)
🏢 Township of Centre Wellington
📍 Elora