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  2006 Election    Français
 
ELECTION WORKER
ON-LINE APPLICATION FORM

First Name:
Last Name:
Address:
Postal Code:
Home Phone:
Work Phone:
Cell Phone / Email:
 
What is your current employment status? (check all that apply)
Student:
Work full-time:
Work part-time:
Retired:
Self-employed:
Other:
 
 
 
Personal information on this form is collected under the authority of The Manitoba Councils and School Boards Elections Act and will be used solely for election purposes.
Last update: 12/05/2008

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