SCSOE - Poll Worker Application



		Poll Worker Application POLL WORKER APPLICATION & SCREENING QUESTIONNAIRE Thank you for your interest in becoming part of the process and serving as a poll worker for Seminole County. To apply, please complete this application in its entirety. If you qualify for a poll worker position, you will be added to our prospective poll worker database. To complete the application process, you must attend a mandatory information session for new poll workers. The information session schedule can be found here. Submitting this form does NOT guarantee you placement as a poll worker. For information on poll worker responsibilities and compensation levels, please visit www.VoteSeminole.org or call 407-708-7760. Labels like This indicate a required entry, labels like This indicate an error. Contact Information Please affirm that all of the following statements are true: I can competently read and write English. I am a registered (or pre-registered) voter in Seminole County. I am physically able to sit or stand for long periods of time and able to lift and move objects weighing approx. 25 lbs. I can deal with the public in a courteous and patient manner. I am willing to attend the mandatory School of Instruction classes prior to Election Day. I am able to work the polls from 6 a.m. on Election Day and remain until after the polls close at 7 p.m. (until ~ 8 p.m.). I affirm that all of the above statements are true (insert initials here to affirm) Name and Residence Address First Name Middle Name Last Name Address Address2 City State Zip Contact Information Home Telephone Number Work Telephone Number Mobile Phone Number Best Time To Call Email Address Example: username@domain.com Poll Worker Information I am aNEW Seminole County Poll Worker RETURNING Seminole County Poll Worker If you have been a poll worker before, how many years have you served? How did you find out about our poll worker positions? Maximum length 300 characters. Why are you interested in becoming a poll worker? Maximum length 300 characters. If you are currently employed, will your employer allow you to take time off to work the polls?Yes No Would you like to be added to the waiting list to work early voting?Yes No Do you have your own transportation?Yes No Spoken language other than English I am interested in the following poll worker position (check all that apply)Clerk Deputy Election Assistant Inspector Voting Machine Technician If you selected Election Assistant or Voting Machine Technician, please answer the following three questions: I am comfortable with learning new technologyYes No I have experience using a laptop computerYes No I have data entry experience and/or skillsYes No Affirmation I certify that the foregoing answers are true; that I have read and understand the foregoing; that I have no disabilities that would hinder my performance at the polls; that I am now a registered voter of Seminole County; and I can competently read and write English as required by Florida state law. Affirm By checking here and submitting this form, you are certifying that the above statement is true. Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

Copyright © 2006 - 2010 Seminole County Supervisor of Elections

Under Florida law, email addresses are public records.
If you do not want your email address released in response to a
public-records request, do not send electronic mail to this entity.
Instead, contact this office by phone or in writing.

Poll Worker Application

POLL WORKER APPLICATION & SCREENING QUESTIONNAIRE