Alternative Voting Method Request Form

Please complete this form IF you are a student at the Belleville campus who would like to vote but are unable to visit one of these on campus polling stations during the election:

-Monday, March 27 from 9 am - 4 pm (5 locations)

-Tuesday, March 28 from 9 am - 4 pm (5 locations)

-Tuesday, March 28 from 7-9 pm (Residence Commons PLEASE NOTE: You do not have to be living on campus to visit this polling station.)

-Wednesday, March 29 from 9 am - 4 pm (5 locations)

-Thursday, March 30 from 9 am - 4 pm (5 locations)

-Friday, March 31 from 9 am - 2 pm (5 locations)

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Alternative Voting Method Request Form

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1. Name (Required.)

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2. Student Number (Required.)

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3. Email Address (Required.)

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4. Phone Number (Required.)

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5. Please indicate the reason you are unable to visit an on campus polling station. (Required.)

Alternative Voting Method Request Form

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* 1. Name (Required.)

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* 2. Student Number (Required.)

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* 3. Email Address (Required.)

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* 4. Phone Number (Required.)

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* 5. Please indicate the reason you are unable to visit an on campus polling station. (Required.)

1. Name (Required.)

2. Student Number (Required.)

3. Email Address (Required.)

4. Phone Number (Required.)

5. Please indicate the reason you are unable to visit an on campus polling station. (Required.)