Electoral Commision SA - Applications


Please complete the following form to apply for work for the South Australian State Election, SATURDAY 20 MARCH 2010.

Application Form


Fields marked with * are required.


* First Name:

* Surname:

Phone Number:
Use format [area code] [number]
eg [08] [12345678]

Mobile number:
Use format [area code] [number]
eg [0417] [123456]

* Street:

* Suburb:

* PostCode:

* Email address:

* Date of Birth:

* Choose the district(s) you are applying for:
Hold down ctrl as you click to choose multiple districts

Do you have any experience of working at elections?

If Yes, please detail experience:

Are you able to speak another language besides English?

Please List spoken languages (including English)

Do you have a disability?

If Yes, please provide some detail of your disability: