• Active Registered Voters as of
  • Republicans:
  • Democrats:
  • Others:
  • Total:

Poll Worker Application

 

Thank you for your interest in serving as a Poll Worker. Once your application is processed by our office, you will be mailed a required Employment Eligibility Verification I-9 Form to complete. The I-9 requirement is a result of Florida Statute 448.095(2) which became effective January 1, 2021. Failure to complete the Employment Eligibility Verification I-9 Form, and not providing a copy of the required acceptable documents will make you ineligible to serve as a Poll Worker.

 

Fields marked with a *Red Asterisk* are required.

 
Are you a seasonal resident (snowbird)?
Are you a seasonal resident (snowbird)?
Required

If you answered yes, please do not proceed with completing the application. Snowbirds are not eligible to serve as Poll Workers since you are required to work a full election cycle with inclusive training.
Not Required

Required

Required

Not Required

Required

Required

Required

Required

Not Required

Not Required

Required

Access to a computer and your own personal (not shared) email address is a requirement to be a Poll Worker. You will receive an email verification from [email protected] upon processing your application.
Not Required

Required

Are you registered to vote in Charlotte County
Are you registered to vote in Charlotte County
Required

Not Required

Have you previously been a poll worker?
Have you previously been a poll worker?
Required

Not Required

Not Required

Are you a retiree from any State of Florida administered retirement system in the last year?
Are you a retiree from any State of Florida administered retirement system in the last year?
Required

Are you fluent in a language other than English?
Are you fluent in a language other than English?
Required

Not Required

Not Required

Smoking is not permitted inside any polling location and restrictions may apply outside at some locations. Is this a problem for you?
Smoking is not permitted inside any polling location and restrictions may apply outside at some locations. Is this a problem for you?
Required

I HEREBY AFFIRM:
Not Required

I am available to work 6 am to (approximately) 8 pm on Election Day;
I am available to work 6 am to (approximately) 8 pm on Election Day;
Required

I am available to work all elections in an election cycle;
I am available to work all elections in an election cycle;
Required

I will attend and complete all required training prior to each election;
I will attend and complete all required training prior to each election;
Required

I understand that if I am a substitute and do not answer my phone or are unable to work on election day morning I will forfeit any monies due me for training and/or substitute status;
I understand that if I am a substitute and do not answer my phone or are unable to work on election day morning I will forfeit any monies due me for training and/or substitute status;
Required

I am not a convicted felon OR if I was I have had my rights restored;
I am not a convicted felon OR if I was I have had my rights restored;
Required

I am able to lift approximately 42 lbs;
I am able to lift approximately 42 lbs;
Required

If I am assigned a position but I am unable to fulfill that assignment at any given time, I understand that I forfeit that position and will be placed in a substitute/alternate status until such a time as a position may become available to me;
If I am assigned a position but I am unable to fulfill that assignment at any given time, I understand that I forfeit that position and will be placed in a substitute/alternate status until such a time as a position may become available to me;
Required

I understand, as a Poll Worker, I will serve at the will of the Supervisor of Elections and may be removed at any time, with or without cause;
I understand, as a Poll Worker, I will serve at the will of the Supervisor of Elections and may be removed at any time, with or without cause;
Required

I will provide prompt responses to ALL emails.
I will provide prompt responses to ALL emails.
Required

FAILURE OF A BACKGROUND CHECK OR TO COMPLY WITH ANY OF THESE AFFIRMATIONS IS GROUNDS FOR PERMANENT INELIGIBILITY TO SERVE AS A POLL WORKER IN CHARLOTTE COUNTY FLORIDA
FAILURE OF A BACKGROUND CHECK OR TO COMPLY WITH ANY OF THESE AFFIRMATIONS IS GROUNDS FOR PERMANENT INELIGIBILITY TO SERVE AS A POLL WORKER IN CHARLOTTE COUNTY FLORIDA
Not Required

SUBMITTING THIS APPLICATION CONSTITUTES YOUR AGREEMENT TO COMPLY WITH ALL APPLICABLE FLORIDA ELECTION LAWS AND REGULATIONS.
SUBMITTING THIS APPLICATION CONSTITUTES YOUR AGREEMENT TO COMPLY WITH ALL APPLICABLE FLORIDA ELECTION LAWS AND REGULATIONS.
Not Required

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