Full Text
CITY OF LEWISTON ELECTION WORKER INFORMATION FORM Mailing Address: Physical Address: Daytime Telephone: Evening Telephone: Email Address: Political Party Enrollment: Council Date of Birth (required for payroll): Social Security Number (required for payroll): Which elections are you available to work? (Please circle below.) Nov. 8, 2011 June 12, 2012 Nov. 6, 2012 Nov. 5, 2013 June 10, 2014 Nov. 4, 2014 Election Day Preference (please check a category if you have a preference): Shift A Shift B (6:00am - 2:30pm) (2:30pm - 9:30pm) Which election position are you interested in (training is provided for all positions): _______Warden ______Ward Clerk ______Ballot Clerk (In charge of entire polling place) (Assistant Warden) (Check off names on list, distribute ballots, etc.) Polling Place Location Preference: _______Multi-Purpose Community Center Hall - processing absentee ballots _______Lewiston Memorial Armory _______Lewiston Lodge of Elks _______Montello School Gymnasium (Please note that we cannot guarantee a particular location, but we will try to accommodate your request.) Please note: Per Maine State Election law, election workers cannot be an employee of a political party, a candidate for office or a member of a candidate’s immediate family. In addition, a person cannot have a direct pecuniary interest in the result of a referendum question appearing on the ballot. Please return completed form to City Clerk’s Office, Lewiston City Hall, 27 Pine Street, Lewiston, ME 04240-7297. Questions - 513-3124