Bartow County Poll Worker Application

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Thank you for your interest in serving as a Poll Worker in Bartow County. Please complete the application below, and we will contact you when a position becomes available. If you have any questions about this process, please email Joseph Kirk, the Bartow County Elections Supervisor, at kirkj@bartowga.org.

First Name *

Last Name *

Residential Address *

City *

Zip Code *

Primary Phone Number *

Type of Phone *

Secondary Phone Number

Type of Phone

Email Address

I prefer to be contacted by: *

Highest Level of Education Recieved *

Some School

High School Graduate

Some College

College Graduate

Graduate Degree

Are you bilingual? *

Yes

If you have a preferance in which polling place you would like to serve at, please specify it here.

Please check all that apply to you at the time of this application. *

I am a citizen of the United States of America

I am a resident of Bartow County

I can read, write, and speak the English language

I am 16 years of age or older

I am registered to vote in Bartow County

I have felony charges pending

I am not a convicted felon

I do not hold a public office

I am not the parent, spouse, child, brother, sister, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law of a public official.

Required

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