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2. City of Lewiston Election Workers Information Form

   You may complete this form online and press submit to send your information to the Lewiston City Clerk's Office.

4. Name
6. Mailing Address
8. Street Address
10. Daytime Telephone
11. Evening Telephone
13. Email Address
15. Political Party Enrollment
17. Which Elections Are You Available to Work?
    -- Select One --MayJune November

    Please Check

18. Election Day Time Slot Preference
    -- Select One --Shift A (6:00 a.m. - 2:00 p.m.)Shift B (2:00 p.m. - 9:30 p.m.)

    Please check a category if you have a preference.

20. Which Election Position Are You Interested In?
    -- Select One --Warden (In Charge of Entire Polling Place)Ward Clerk (Assistant Warden)Ballot Clerk (Checks Off Names on List, Distributes Ballots, Etc.)

    Training is Provided for All Positions.

22. Polling Place Location Preference
    -- Select One --Longley School GymnasiumLewiston Memorial ArmoryMontello School GymnasiumThe Green Ladle (high school campus)City Hall ( processing absentee ballots)

    Please check.  Also, please note that we cannot guarantee a particular location, but we will try to accommodate your request.)

24. Date
25. Electronic Signature
27. Reply Email
29. 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.
30. QUESTIONS?

    Call (207) 513-3124

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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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