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First Name (required) :
Last Name (required) :
Primary Telephone Number (required) :
Alternate Telephone Number 1:
Alternate Telephone Number 2:
Email Address:
Number and Street (required) :
Apt. No :
City (required) :
Province (required) : -Select- Newfoundland and Labrador Nova Scotia Prince Edward Island New Brunswick Quebec Ontario Manitoba Saskatchewan Alberta British Columbia Northwest Territories Yukon Nunavut
Postal Code * :
Check the box beside each position in which you are interested.
For more information on polling days positions, remuneration and hiring priorities click here: More information on polling days positions.
Deputy Returning Officer
Central Poll Supervisor
Registration Officer
Information Officer
Describe in a few words any pertinent experience you have (required)
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The Privacy Act entitles you to a right of access to your personal information. Personal information collected on this form will be provided by Elections Canada to the returning officers of electoral districts located in your area of residence. The returning officers will use this personal information for the purpose of staffing of election officers' positions during FORTY-FOURTH GENERAL ELECTION. In accordance with the Privacy Regulations, your personal information will be kept for at least two years after polling day. It will then be disposed of in accordance with the Library and Archives Canada Act.
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Please answer the following questions: (required)
3. Please tally the number of valid votes cast:
Candidate A received a total of 233 votes; Candidate B received a total of 322 votes; Candidate C received a total of 232 votes.
Statement of the vote
Note: It is not possible to attach any document or message to this application.