*1.Name(Required.)

*2.Email(Required.)

*3.Contact phone number(Required.)

4.Would you be keen to assist with any of the below Co-Ordinator Roles?

Yard Sign Co-Ordinator (Oversee delivery and erection of yard signs across electorate)

Fundraising Co-Ordinator (Assist with our fundraising activities)

Pre-Poll Co-Ordinator (Manage the roster for the Pre-Poll Booth from Monday 13th March to Friday 24th March)

Volunteer Co-Ordinator (Assist with welcoming new volunteers)

Material Designs Co-Ordinator (Assist with designing and ordering our campaign materials)

Door Knocking Team Leader (Regularly lead volunteers with door knocking)

5.Can you assist with letterboxing campaign materials?

Yes

No

6.Which of the below days can you assist with Street Stalls (Between 8:30am to 11:30am)?

Saturday 11th February

Saturday 18th February

Saturday 25th February

Saturday 4th March

Saturday 11th March

Saturday 18th March

7.Which of the below days can you assist with Phone Banking (Anytime between 5:30pm to 8:30pm)?

Tuesday 7th February

Tuesday 14th February

Tuesday 21st February

Tuesday 28th February

Tuesday 7th March

Tuesday 14th March

Tuesday 21st March

8.Which of the below days can you assist with Door Knocking (Anytime between 1:30pm to 5:30pm)?

Saturday 11th February

Sunday 12th February

Saturday 18th February

Sunday 19th February

Saturday 25th February

Sunday 26th February

Saturday 4th March

Sunday 5th March

Saturday 11th March

Sunday 12th March

Saturday 18th March

Sunday 19th March

9.What hours can you assist on Election Day (Saturday 25th March)

6-8am (Polling Booth Set-up)

8am to 9am

9am to 10am

10am to 11am

11am to Midday

Midday to 1pm

1pm to 2pm

2pm to 3pm

3pm to 4pm

4pm to 5pm

5pm to 6pm

6pm to 6:30pm (Polling Booth Pack-up)

6pm to 8pm (Scruitineering at Polling Booth)

10.Can you host a corflute?

Yes

No

11.Is there any other way you would like to help?