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Expression of Interest Application Form

Please complete the online form below to register your expression of interest to work.

You will be required to produce your Rights to Work in the UK documentation and other personal details, such as National Insurance number and bank details if offered employment.

Fields marked with * are required
Details
1. I wish to assist with any *
  
  Future elections
  
  Annual canvas
  
  Both
2. I confirm that I am not connected to, nor will assist any political party or candidate at the election*
3. I am physically able to undertake the duties of the task(s) I am applying for
4. I understand that I must present the required proof of right to work documents before any offer of employment can be made*
5. I am eligible to work in the UK*
Label
1. I would like to assist in the following role(s)*
  
  Presiding Officer
  
  Poll Clerk
  
  Count Assistant
  
  Canvasser
2. Please provide details of any previous election/canvass experience
3. If appointed my preferred area of working within the Breckland district would be, (please advise the Parish areas). This does not necessarily mean you will be allocated to your chosen areas as they may not be available to offer.
4. If this were to be the case would you be happy to undertake Canvass duties in any other areas or within a certain radius of a particular Parish?
  
  Yes
  
  No
Contact details
1. Full Name*
2. First line of address*
3. Town*
4. Post Code*
5. Home Tel
6. Work Tel
7. Mobile Tel*
8. Do you have an email?*
  
  Yes
  
  No
9. Email
Declaration
1. I understand that, if employed at elections, I would be consenting to working in excess of the normal maximum working hours provided by the Working Time Directive
2. I agree to my details being stored on an Electoral Service's computer database
3. I understand that by checking the declaration box it is classed as my electronic signature and is the legally binding equivalent to my handwritten signature*
Privacy statement

Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.

In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.

The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.

More detailed information about the Council's handling of your personal data can be found in our privacy policy.
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Expression of Interest Application Form

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Expression of Interest Application Form

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