City of Burnaby - Online Worker Application

Election Worker Online Application

Are you interested in working for the Burnaby Local Government Election? Are you legally entitled to work in BC? If so, please complete this online application.

You MUST be available to work from 7:00 AM until the end of voting and cleanup on General Voting Day (Saturday, October 15, 2022). Election workers may be required to work a specific shift on one of the Advance Voting Days (October 1, 5, or 8, 2022). If you are NOT able to commit, please DO NOT continue with this application.

In order to process your application, we ask you to provide the following information. Please note required fields are marked with an asterisk (*).

Election Day Work Location Preference

Please select up to 3 Voting Locations from the list below for your preference to work on General Voting Day, Saturday, October 15, 2022. ENTER THE LOCATION NUMBERS IN THE SPACES PROVIDED BELOW. We will do our best to accommodate your request.

1. Gilmore Avenue Community School 50 Gilmore Ave.

2. Confederation Seniors’ Centre 4585 Albert St.

3. Capitol Hill Elementary School 350 Holdom Ave.

4. Kitchener Elementary School 1351 Gilmore Ave.

5. Alpha Secondary School 930 Alpha Ave.

6. The Amazing Brentwood 4567 Lougheed Hwy

7. Burnaby North Secondary School 851 Kensington Ave

8. Westridge Elementary School 510 Duncan Ave.

9. Lochdale Community School 6990 Aubrey St.

10. Sperling Elementary School 2200 Sperling Ave.

11. Forest Grove Elementary School 8525 Forest Grove Dr.

12. University Highlands Elementary 9388 Tower Rd.

13. Stoney Creek Community School 2740 Beaverbrook Cres.

14. Cameron Recreation Complex 9523 Cameron St.

15. Seaforth Elementary School 7881 Government St.

16. Cascade heights Elementary School 4343 Smith Ave.

17. Moscrop Secondary School 4433 Moscrop St.

18. Burnaby Central Secondary School 6011 Deer Lake Pkwy.

19. Chaffey-Burke Elementary School 4404 Sardis St.

20. Marlborough Elementary School 6060 Marlborough Ave.

21. Metropolis @ Metrotown 4700 Kingsway

22. Bonsor Recreation Complex 6550 Bonsor Ave.

23. South Slope Elementary School 4446 Watling St.

24. Nelson Elementary School 4850 Irmin St.

25. Clinton Elementary School 5858 Clinton St.

26. Taylor Park Elementary School 7590 Mission Ave.

27. Windsor Elementary School 6166 Imperial St.

28. Morley Elementary School 7355 Morley St.

29. Edmonds Community Centre 7433 Edmonds St.

30. Lakeview elementary School 7777 Mayfield St.

31. Second Street Community School 7502 Second St.

32. Armstrong Elementary School 8757 Armstrong Ave.

First Choice Location Number*

Second Choice Location Number*

Third Choice Location Number*

Advance Voting Availability

Please select ONE Advance Voting Location from the list below that you would prefer to work at. (We will do our best to accommodate your request)*

Advance Location

Please select ALL possible dates/times you will be available to work during the Advance Voting Opportunities.

(We will make every effort to accommodate your request.)

Advance Dates

Saturday October 1 - AM (7:00 AM - 2:30 PM)
Saturday October 1 - PM (2:00 PM to 10:00 PM)*
Wednesday October 5 - AM (7:00AM - 2:30 PM)
Wednesday October 5 - PM (2:00PM - 10:00 PM)*
Saturday October 8 - AM (7:00 AM - 2:30 PM)
Saturday October 8 - PM (2:00 PM - 10:00 PM)*

*the end of PM shifts are based on completion of closing/take down procedures

Personal Information

Last Name

First Name

Middle Name

Mailing Address

Mailing Address 2

City

Province

Postal Code

Cell Phone

Work Telephone

Home Telephone

Contact Preference

Please provide a name and phone number for an emergency contact

PEO/APEO - Would you be willing to use your cell phone during the Election for communication with HQ Staff?*

Yes No

Election Experience

Have you worked in past elections:*

Yes No

Transportation

Do you have a valid driver's licence?

Yes No

Do you have access to a car?

Yes No

Employment

Are you currently employed by the City of Burnaby?

Yes No

Are you currently a high school student?*

Yes No

Are you legally entitled to work in BC?*

Yes No

Candidate Affiliation

Are you related to any candidate?* If yes, you are disqualified from the Local Government Election

Yes No

Are you a member of a campaign team?*

Yes No

Resume

May we retain your information to contact you for future elections?*

Yes No

How did you hear about this Election work opportunity? Select ALL that apply.*

Invitation via Email (Past Election Worker)
Community Outreach Event
City of Burnaby Facebook
Friend Referral
City of Burnaby 2022 Local Government Election Website
Poster at City Facility - Library/Recreation Centre
City of Burnaby Twitter

Disclosure

Personal information is collected for the purpose of processing your application to work as a Burnaby Municipal Election Worker. The City of Burnaby is collecting this information under s. 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding this collection of personal information, please contact the City Clerk, 4949 Canada Way, Burnaby, V5G 1M2

By submitting this application, I certify that the information entered by me in this application is true and complete. *

Yes No

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