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2. City of Lewiston Election Worker Information Form
4. This form may be completed and submitted online. If you have questions, please call the City Clerk's Office at (207) 513-3124.
6. Name*
8. Mailing Address*
10. Street Address*
12. Daytime Phone*
13. Evening Phone*
15. Political Party Enrollment*
16. Email to Contact You
18. Which elections are you available to work? Please check all that you would be available for.

    1. November 3, 2020

    1. June 14, 2022

    1. November 8, 2022
20. Election Day Preference: Please check a time category if you have a preference.

    1. Shift A - 6:00 am - 2:00 pm
    2. Shift B - 2:00 pm - 9:30 pm
22. What election position are you interested in? Training is provided for all positions.

    1. Warden - In charge of entire polling place
    2. Ward Clerk - Assistant warden
    3. Ballot Clerk - Check off names on list, distribute ballots, etc.
24. What is your polling place preference? (We cannot guarantee a particular location, but we will try to accommodate your request.)

    1. Longley School Gymnasium
    2. Lewiston Memorial Armory
    3. Montello School Gymnasium
    4. The Green Ladle (Lewiston High School Campus)
    5. Lewiston City Hall - Processing Absentee Ballots
26. 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.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field