Poll Worker Employment Application

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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?

What is your primary language?

Do you have a secondary language(s)?

What is your secondary language(s)?

Are you a high school student?

High School Name

Relevant Teacher Name(s)

Is your mailing address the same as the civic address you entered above?

Mailing Address 1

Mailing Address 2

City, Town, or Community

Postal Code

For example C1B 0X1 or 12345

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Poll Worker Employment Application

PEI Workflow Feature