HomeMy Public PortalAboutElection-poll worker application 2020APPLICATION FOR ELECTION/POLL WORKER
Town of Watertown, Massachusetts
Personnel Office
149 Main Street
Watertown, MA 02472
Thank you for your interest in employment with the Town of Watertown.
INSTRUCTIONS: Each question should be fully and accurately answered. Please PRINT or TYPE, except
for your signature on the back of the application.
GENERAL
Position applying for: ELECTION/POLL WORKER Date of application: _________________
Referral source: Newspaper ad Online ad Employee Relative Bulletin Board_____
(check one) Walk – in Employment agency School Town Website Other ______
Name of source (if applicable): Date available for work: ______________________
PERSONAL
Name: (First) (Middle) (Last) ___________________________
Address: (Street) ____________________________________
(City) (State) (Zip) ___________
Telephone: Home ( ) ______________________ Cell ( ) _______________________
Between 8:30 a.m. and 4:30 p.m. ( ) ________________________
If this is your current place of employment, may we contact you there? Yes No
Email: ______________________________________________
Are you age 18 or older? Yes No If no, list the date of birth: _________________________
Have you worked for the Town of Watertown before? Yes No
If yes, list: (dept.) ________________ Dates of service: From: _________________ To: _________________
Briefly explain why you would like to be considered:
REFERENCES
Please exclude former employers or relatives.
Name and occupation Address Phone
1)
2)
OTHER INFORMATION
Are you able to provide documented proof of U.S. citizenship or valid work permit as required upon
employment to work in the United States? Yes No
Signature: Date: