DEPARTMENT OF STATISTICS
MINISTRY OF FINANCE
HORSFORD BUSINESS COMPLEX, FARMS ESTATE, NEVIS
PRE-CENSUS MAPPING EXERCISE - CALL FOR ENUMERATORS
APPLICATION FORM
1. Name:
First Last Age
2. Address:
Parish Community
3. Contact Number:
Mobile Home Work
Email
4. Occupation:
5. Name and Address
of Workplace:
6. Have you ever work on any surveys conducted by the Statistics Department? Yes: No:
If yes, list the surveys
7. If chosen to be an enumerator, would you be willing and able to work in an area/community in which you do
not live? Yes No
8. Ownership of Vehicle? Yes No
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Completing this application does not guarantee selection as enumerator positions are limited. If selected, you must
be able to attend a mandatory training session prior to the start of the survey.
I certify that the information contained in this application is correct to the best of my knowledge. I understand that
to falsify information is grounds for refusal to hire, or discharge should I be hired.
Signature Date
Telephone: (869) 469 5521 Ext: 5060/5061 Email: [email protected]