Hamilton County Poll Worker Application
Name (First, MI, Last):
Your answer
Voter Registration Number (if known):
Your answer
Address:
Your answer
Preferred Phone Number:
Your answer
Email:
Your answer
Describe your work experience during the last two years (please indicate if retired):
Your answer
Have you ever worked as a Poll Worker before?:
If yes, where and when?
Your answer
Are you related to or assisting in the political campaign of a candidate or office holder?
If yes, who?
Your answer
Are you employed by any government entity?
If yes, who?
Your answer
Are you willing to work outside your precinct?
Are you aware that you are required to complete training?
Are you aware that you must commit to working from 7:00 a.m. until 9 p.m. (14 hours) on Election Day?
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?
Your answer
Please Type your full legal name below:
Your answer
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 certify I am a registered voter in Hamilton County. I understand, as a Poll Worker, 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 work every election.
Submit
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