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Census worker application

Applicant information

Name

Application date

Address

Postal code

Phone number

Alternate phone number

Applicant experience

Previous census related experience

Yes

Have you applied to the City of Airdrie to collect census or assisted someone before?

Yes

If accepted as a census worker, are you willing to work in any area of Airdrie?

Yes

Do you have use of a car?

Yes

How would you approach this task?

Criminal record

Have you ever had a criminal conviction for which a pardon has not been received?

Yes

Skills assessment

Please read the description below titled "Address 1" and then choose the best response for each of Questions 1 to 3.

Address 1: This renting family consists of a single mother (30) and her daughter (10). Family moved to Airdrie in 2015 from Saskatchewan. Family speaks Spanish and the home does not have a separate suite. Will not participate in quality assurance program.

Please read the description below titled "Address 2" and then choose the best response for each of Questions 1 to 4.

Address 2: This family owns their home and consists of a husband (35) and wife (35) with 2 children - girl (8) and boy (6). They moved to Airdrie in 2012. The language spoken at home is English and they do not have a separate suite. They will participate in the quality assurance program and prefer to receive a text when contacting them for follow up.

Please read the description below titled "Address 3" and then choose the best response for each of Questions 1 to 4.

Address 3: This dwelling occupied by four adults - 33 year old man, 55 year old man, 31 year old woman and 55 year old woman and three children - 2 girls (5 & 8) and one boy (12). They have rented their home since May 2016 and do not have a suite. They do not wish to participate in Quality Assurance.

Verification

Name

Date

Signature I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature.

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FOIP (privacy statement)

The information on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act ("the Act") and will be used solely for hiring and communicating with contract workers.

It will be treated in accordance with the privacy protection provisions of Part 2 of the Act. Questions concerning collection of this information can be directed to Lynn Harris or Kari Kitiuk, Legislative Services at 400 Main St. SE, Airdrie, AB T4B 3C3 or at 403.948.8816.