Election Staffing Application : Your Details

Additional Documents

If possible please provide a certified copy of your:

Passport or
Birth Certificate

If not then you will be required to provide one at a later date.

Are you able to upload copies of these certified documents? mandatory field YesNo

Personal Details

First Name mandatory field

Last Name mandatory field

Are you male or female mandatory field MaleFemale

Date of Birth mandatory field

Month Year

Address Line 1 mandatory field

Address Line 2 mandatory field

Address Line 3

Address Line 4

Postcode mandatory field

Home Phone Number

Mobile Phone Number

Work Phone Number

Email Address mandatory field

Tax Details

National Insurance Number mandatory field

Tax Payer mandatory field YesNo

I am Legally Entitled to Work in the UK mandatory field YesNo

Student Loan Details

Do you have a Student Loan which is not fully repaid? mandatory field Yes
No

Did you finish your studies before the last 6 April? mandatory field Yes
No

Bank Details

Name of Bank/Building Society mandatory field

Account Number mandatory field

Sort Code mandatory field

Building Society Roll Number
(If Applicable)

Work Preferences

Presiding Officer

Poll Clerk

Count Supervisor

Count Assistant

Canvasser (please only tick if you have already submitted an Electoral Canvasser Application)

Election Staffing Application

Your Details

Your Details

Council Services

Further Information

Election Staffing Application

Your Details

Your Details

Council Services

Further Information

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