IN ORDER TO FINALIZE THE APPLICATION PROCESS YOU ARE REQUIRED TO COMPLETE AN ADDITIONAL FORM, THE ‘ELECTION WORKER QUESTIONNAIRE’, IN PERSON MONDAY – FRIDAY BETWEEN 8:30AM AND 4:00PM AT THE ELECTIONS AND CENSUS OFFICE (16304 – 114 AVENUE). QUESTIONNAIRES ARE AVAILABLE STARTING JUNE 12, 2017.
Can the Election and Census office retain your personal information in order to contact you for future elections? |
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Can the Election and Census office retain your personal information in order to contact you for future censuses? |
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Do you have City of Edmonton election work experience?
(i.e.: Election Day, Advance Vote, Hospital Voting, Senior Accommodation Facilities etc.)
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If yes, please specify:
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Do you have other election experience?
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If yes, please specify:
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Are you fluent in English? |
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Are you fluent in any other languages?
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 Please select at least one language.
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 Language Spoken #1 should be different from Language Spoken #2.
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Are you willing to work anywhere in your ward, if required? |
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Are you willing to work in an alternate ward, if required? |
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Please select three positions you are most interested in working:
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Select 1st Choice (mandatory):
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Select 2nd Choice (optional):
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Select 3rd Choice (optional):
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Are you willing to accept any position other than those that you have indicated above? |
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Some positions require you to have a personal vehicle with proof of insurance and a valid driver’s licence. Do you have a personal vehicle with proof of insurance and a valid driver’s licence? |
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Some positions require you to be able to lift and carry items weighing approximately 30-60lbs (13-27kg), are you able to lift and carry items weighing approximately 30-60lbs (13-27kg)? |
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Do you require any accommodations to perform the duties of the position(s) that you are applying for?
(please refer to job description)
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If yes, please describe:
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How did you hear about these positions? (please check one) |
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Please specify: |
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Once hired, all election workers are required to attend a training session at the Elections and Census office. What time of day would you prefer to attend training? |
 Required Field.
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I prefer to receive correspondence from the Elections & Census Office via: (please check one) |
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Are you currently employed by the City of Edmonton? |
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I agree to attend any applicable training required |
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I understand that I am responsible for my own transportation to and from the voting station(s) |
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I confirm that I am not currently employed by the City of Edmonton for the purposes of working the 2021 Election |
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I understand that the City of Edmonton will not issue me any tax reporting document, such as a T4 slip |
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I understand that it is my responsibility to report any compensation I receive for my election work for income tax purposes |
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If I become a candidate in the 2021 Election, or any member of my family becomes a candidate in the 2021 Election, I will immediately notify the Election Office at 780-442-VOTE (8683) |
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Employee ID: |
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Will you be taking October 18, 2021 as a vacation day in order to work Election Day? |
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Will you be taking October 18, 2021 as an EDO on order to work Election Day? |
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All employees who are not taking a vacation day or an EDO in order to work Election Day must obtain approval from their immediate supervisor prior to applying to work on Election Day. Have you obtained approval? |
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If I become a candidate in the 2021 Election, or any member of my family becomes a candidate in the 2021 Election, I will immediately notify the Election Office at 780-442-VOTE (8683) |
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The personal information on this form is being collected for selection and hiring, position assignments, voting station identification, remuneration and future election or census worker opportunities, and is authorized under Section 33(c) of the Freedom of Information and Protection of Privacy Act.
If you have any questions concerning the collection of this personal information, please contact Linda Sahli, City Clerk at 780-442-VOTE(8683).