I declare by submitting this application for employment it is, to the best of my knowledge, an accurate statement of the facts. I understand that falsified statements on this application shall be considered sufficient cause for dismissal.
Personal information on this form is collected under the authority of the Municipal Elections Act, 1996, as amended, and will be used to identify and contact election personnel for municipal election employment. The information is protected under MFIPPA. For questions related to the collection of this information, contact the City of Branford Clerks Department Election Team at City Hall, Brantford, ON. Phone (519) 759-4150 Email: firstname.lastname@example.org