Election Official Application

Please be sure to fill out each section of this application prior to submission.

CONTACT INFORMATION

Name:

Address (including postal code):

Email:

Daytime Phone:

Evening Phone:

ELECTION EXPERIENCE

Election Experience:

Federal

Provincial

Local Government (Municipal)

Other

Please provide details (positions held, dates, locations etc.):

WORK HISTORY

Please provide a short description of your employment history or attach a current resume

Upload your resume

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

REFERENCES

Please include at least one employment or election reference:

Name:

Address:

Phone:

Name:

Address:

Phone:

Name:

Address:

Phone:

Please use your mouse, tablet pen or finger to sign your name in the blank box below.

Signature of Applicant

Clear

Date of Application

Please confirm you are:

Legally entitled to work in British Columbia

Please confirm you have:

Reliable transportation to and from the assigned voting place (Agassiz Agricultural Hall, 6800 Pioneer Ave)

Please confirm you will:

Attend a mandatory training session

Please confirm you are not:

Related to any candidate running for office in the general election

Please confirm you are not:

Actively working for any election campaign or any candidate.

If you are not submitting online, please deliver completed application form to the attention of the Chief Election Officer:
By hand or mail to the District of Kent Municipal Hall, P.O. Box 70, 7170 Cheam Avenue, Agassiz, BC VOM 1AO or by fax to (604) 796-9854

Note: A member of the election staff cannot be involved in any candidate campaign. Each staff member must swear a solemn declaration stating they are not involved in any capacity with any of the candidates (i.e. nominator, agent, relative, supporter etc.)

Only shortlisted applicants will be contacted - Thank you for your interest.
Successful candidates will be required to complete a training session and
make an oath of office before commencing any election duties.

Personal information included on this form is collected solely for the purposes authorized by the Local Government Act and is subject to disclosure in accordance with the Freedom of Information and Protection of Privacy Act.
If you have any questions about this collection, please contact the Director of Corporate Services at the District of Kent at (604) 796-2235.