Application for Election Workers 2018 General Public

FORM EL47

Election Day is Monday, October 22, 2018 & Voting Hours are from 10:00am – 8:00pm

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Part I

street number and name

Part II

Election Work History

Please indicate which election(s) and which position(s) you have worked for in the past:

Year(s) Worked
(e.g "2014")
Position(s) Worked

Part III

The personal information on this form is collected under the Municipal Elections Act 1996 Section 15(1). This information will be used for processing your application for election purposes only. Questions about this collection can be made to the Manager of Records and Elections/Freedom of Information Coordinator, 350 City Hall Square West, Room 203, Windsor, ON N9A 6S1, 519-255-6285

By submitting this application you are declaring that the information provided for employment is an accurate statement of the facts to the best of your knowledge. You understand that falsified statements on this application shall be considered sufficient cause for dismissal.