Hamilton County Poll Official Sign Up Form
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Name (First, MI, Last): *
Voter Registration Number (if known):
Address: *
Date of Birth: *
Preferred Phone Number: *
Describe your work experience during the last two years (please indicate if retired): *
Have you ever served as a Poll Official before?: *
If yes, where and when?
Are you related to or assisting in the political campaign of a candidate or office holder? *
If yes, who?
Are you employed by any government entity? *
If yes, who?
Are you willing to serve outside your precinct? *
Are you aware that you are required to complete training? *
Do you understand that you will need to report to your assigned polling location no later than 7:00am Eastern and are required to stay at the polling place until the polls close and all of the election equipment has been properly stored and paperwork completed?   *
Do you anticipate any conflicts with your job schedule on Election Day? *
Do you routinely use a personal computer to obtain information via the internet? *
Are you being referred by someone? If so, who?
Please Type your full legal name below: *
Your full name above is your electronic signature and is the legal equivalent of your written signature on this application.
By selecting the "Submit" button, I agree to comply with all pertinent Election Laws and regulations including completion of all mandatory training. I understand that by being selected to serve as a poll official on Election Day, I AM NOT accepting, nor being offered employment, with the Hamilton County Election Commission, nor with Hamilton County General Government.  I understand that a poll official serves temporarily for the Hamilton County Election Commission and is limited to Election Day. I certify I am a registered voter in Hamilton County. I understand, as a Poll Official, I serve at the will of the Election Commission and may be removed at any time, with or without cause and I also understand I may not be called to serve every election.
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