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Pollworker Interest Form
NOTICE TO APPLICANT— PLEASE READ BEFORE YOU FILL OUT FORM BELOW:
Persons appointed to these positions must be registered voters and residents of the county in which the precinct is located, of good repute, and able to read and write.
Not more than one judge in each precinct shall belong to the same political party as the chief judge.
No person shall be eligible to serve as a precinct office who:
holds any elective office under the government of the United States or of the state of North Carolina or any political subdivision thereof.
is a candidate for nomination of election.
holds any office in a state, congressional district, county, or precinct political party or political organization, or who is a manager or treasurer for any candidate or political party. provided however that the position of delegate to a political party convention shall not be considered any office for the purpose of this subsection.
The following categories of relatives are prohibited from serving as precinct officials of the same precinct: spouse, child, spouse of a child, sister or brother.
No precinct official who is the wife, husband, mother, father, son, daughter, brother, or sister of any candidate for nomination or election may serve as precinct official during any primary or election in which such candidate participates.
The Board of Elections may remove you as a precinct election official for misbehavior or neglect of duty.
*
Full Name:
Voter Registration #:
*
Gender:
Female
Male
Date of Birth: (optional)
*
Home Address:
*
City:
Beulaville
Camp Lejeune
Chinquapin
Holly Ridge
Hubert
Jacksonville
Maple Hill
Maysville
Midway Park
North Topsail Beach
Pink Hill
Richlands
Sneads Ferry
Stella
Surf City
Swansboro
Tarawa Terrance
*
State:
North Carolina
*
Zip Code:
Mailing Address (if different than above)
Precinct
:
Are you willing to work in a precinct
other than your assigned precinct?
Are you related to anyone currently
working at your voting precinct?
I am applying for the position of:
Any Position
Chief Judge
Judge
Assistant
One-Stop Worker
Volunteer
Other
Please check the box for each
statement below that is true:
I will be able to attend a 3-4 hour
training session before each election.
I have my own transportation to and
from a polling place on Election Day.
I am able to lift 30 lbs.
I am able to work from 6am to at
least 8pm on Election Day.
I understand I may be required to
assist other poll workers in my
precinct on the eve of the election.
I am currently a registered voter in
Onslow County.
I am currently over the age of 18.
*
Best Number to Contact You:
(910) 111-1111
Email Address:
Any Additional Information:
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