GLYNN COUNTY POLL WORKER APPLICATION

What is your full name?*

What is your street address?*

Daytime Contact Number:*

What is your date of birth?*

EMAIL ADDRESS:

Can we reach you through e-mail? *

Yes

No

*Email is our preferred method of communication for newsletters, training information, staffing requests, and general information. Mailed letters may be delayed and make it difficult for you to receive any time-sensitive information.

______________________________________

This section will help our office determine your potential skills as a poll worker. We need a variety of skills on Election Day and your answers will not disqualify your application. However, new poll workers are placed according to the staffing needs of each precinct and the turnout expected for the election. We try to place every new poll worker, but your application does not guarantee you will work in the next election. If you are not chosen for the next election, you will be contacted for future elections.

Have you ever worked as a poll worker before? *

Yes

No

If yes, describe your duties and where you served.

Are you willing to work any location?*

Yes

No

If No, where are you willing to work?

What is your most recent occupation?

Describe any relevant work or volunteer experience.

Can you work a full day? *

Yes

No

*Poll workers typically report to work by 6am and do not leave until 8pm or later. You cannot leave the poll on Election Day.
**Poll teams also meet for a couple hours the day before the election to set up tables and equipment

Please check all that apply:

1

I am a citizen of the US and resident of Glynn County

2

I am at least 16 years old or older

3

I have my own transportation

4

I can lift 20 pounds

5

I understand I must attend training before each election

From 1 to 5, how comfortable are you with technology such as touchscreen electronics, smartphones, tablets, and similar devices?
1 is very comfortable, 5 is not comfortable at all or no experience with related technology.*

1- Use multiple devices in my daily activities 2- Uses one of these devices regularly 3- Use these devices for basic tasks only such as phone or email. 4- Prefer not to use these devices, but understand basic use 5- I do not own or know how to use this technology