Elections PEI is always looking for qualified workers for the next electoral event. If you are interested in being a poll worker, for the current District 2 By-Election, please take a moment and fill out this on-line application. Current Page 1 Page 2 Preview Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15-01 as it relates directly to and is necessary for the maintenance of the Register of Electors, and will be used to administer all electoral events. If you have any questions about this collection of personal information, you may contact Tim Garrity at 902-368-5895. Information may be verified. Identification Enter your civic address in the fields below. First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address Which district do you reside in? - Select -District 1 Souris - ElmiraDistrict 2 Georgetown - PownallDistrict 3 Montague - KilmuirDistrict 4 Belfast - Murray RiverDistrict 5 Mermaid - StratfordDistrict 6 Stratford - KeppochDistrict 7 Morell - DonaghDistrict 8 Stanhope - MarshfieldDistrict 9 Charlottetown - Hillsborough ParkDistrict 10 Charlottetown - WinsloeDistrict 11 Charlottetown - BelvedereDistrict 12 Charlottetown - Victoria ParkDistrict 13 Charlottetown - BrightonDistrict 14 Charlottetown - West RoyaltyDistrict 15 Brackley - Hunter RiverDistrict 16 Cornwall - MeadowbankDistrict 17 New Haven - Rocky PointDistrict 18 Rustico - EmeraldDistrict 19 Borden - KinkoraDistrict 20 Kensington - MalpequeDistrict 21 Summerside - WilmotDistrict 22 Summerside - South DriveDistrict 23 Tyne Valley - SherbrookeDistrict 24 Evangeline - MiscoucheDistrict 25 O'Leary - InvernessDistrict 26 Alberton - BloomfieldDistrict 27 Tignish - Palmer Road What is your primary language? Do you have a secondary language(s)? - Select -YesNo What is your secondary language(s)? Are you a high school student? - Select -YesNo High School Name What course(s) are you taking that are related to working in elections? Relevant Teacher Name(s) Is your mailing address the same as the civic address you entered above? - Select -YesNo Mailing Address 1 Mailing Address 2 City, Town, or Community Postal Code For example C1B 0X1 or 12345 Next Page >