Washington County Poll Worker Application

1) Full Name: *

2) Date of Birth: *

3) Street Address: *
Please list the address where you are registered (no PO Box or Commercial Address)
City: *
State: *
Zip Code: *

4) Phone Number: *

5) Email: *

6) Party Affiliation: *
TCA § 2-4-105 (a) As nearly as practicable, no more than one-half (1/2) of the number of election officials at a polling place and no more than one-half (1/2) of the whole number of inspectors may be members of the same political party. In applying the rule of this section to inspectors, inspectors whose appointment is required by § 2-4-102 shall not be counted.
(b) In the event that only one (1) political party elects to hold a primary election as authorized under § 2-13-203, then only members of that political party who call the primary shall be appointed to serve at the polls as election officials as required by this title.

7) Would you have any issues sitting or standing for an extended period of time? *

8) Would you want to work early voting, election day, or both? *
Please note, early voting shifts are typically 8-9 hours a day. Election Day shifts are up to 13 hours from the time the polls open until after closing procedures are finished.

9) Have you worked for the Washington County Election Commission before *

10) If you have worked as a poll worker in a previous election, which precinct were you assigned to?
What was your position?

11) Are you currently employed with Washington County? *
If yes, where are you employed?

12) Statement of Understanding *
Washington County is an equal opportunity employer and does not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or veteran status in employment opportunities and benefits. Please bear in mind the following: we reserve the right to check all information for accuracy; and all applications are a matter of public record.
I understand that submitting this application does not guarantee an offer of employment with the Washington County Election Commission. I further understand that, based on the needs of the Election Commission, I may be selected to serve as a regular poll worker, an “extra,” or a “backup” worker.
I acknowledge that all poll workers are required to attend mandatory training conducted by the Election Office prior to each election. I understand that failure to attend the required training will make me ineligible to work on Election Day or during Early Voting.
I also understand that this is a paid position, and compensation will be provided in accordance with the policies of the Washington County Election Commission.
By checking the box, I certify that I have read, understand, and agree to the terms outlined above.