• Name * First / Last
• Voter Registration Number (If known)
• Address *
  Street Address
  Address Line 2
  City
  State
  Postal / Zip Code
  Afghanistan Albania Algeria Andorra Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Country
• Home Phone or Preferred Phone * - (###) - ### ####
• E-Mail Address *
• Describe your work experience during the last two years
• Have you ever worked as a Poll Worker before? * Yes No
• If yes, where and when?
• Are you related to a candidate or office holder? * Yes No
• If yes, who?
• Are you employed by any government entity? * Yes No
• If so, who?
• Will you work outside of your precinct? * Yes No
• Are you aware that you MUST do online training as well as attend a training class? * Yes No
• Are you aware that you MUST commit to working from 6:00 a.m. until 8:00 p.m. (14 hours) on Election Day? * Yes No
• Do you anticipate any conflicts with your job schedule on Election Day? * Yes No
• Do you routinely use a personal computer to obtain information via the internet? * Yes No

Poll Worker Assessment

• Filing by Alphabetical Order

  When voters come in to vote, the poll worker is required to find their name in the precinct register. Precinct registers list voters alphabetically by Last Name, First Name. Review the following example to better understand how to answer the below 4 questions.
  Example: John Peters would be found in the precinct register between what 2 names?

  Mann, Jack
  Pound, Iris

  Smith, Mary
  Underwood, Nellie

  
  

  Round, Daniel
  Webster, Peter

  Petri, Jack
  Smith, Janet
  
  To best simulate an actual precinct register, you are encouraged to compare the name provided at the beginning of each question with each of the possible answers - one answer at a time. Select the correct set of names for each question.

• 1) Anthony Jones would be filed alphabetically between which set of names? Smith, William A.
  Young, Cheryl James, Tom
  James, Warren Fry, John
  Jones, Susan B. Johnson, Edgar
  Johnston, Diane
• 2) Carl Armstrong would be filed alphabetically between which set of names? Arnold, Tom
  Bean, Roy Smith, William A.
  Young, Cheryl Airis, Linda
  Cannon, John Jones, Anthony
  Fry, John
• 3) Justin Davis would be filed alphabetically between which set of names? Arnold, Tom
  Baily, Justice Dotson, Larry
  Felix, Austin Daily, Tom
  Day, Alex Danielson, Melvin
  Daley, Betty
• 4) Gerald Tompson would be filed alphabetically between which set of names? Timms, Kevin
  Tyre, Joseph Tgu, Ki
  Tindall, Frank Tatum, Charles
  Teek, Dong George, Stephen
  Jones, Sally

• Determining alphabetical and numerical order

  Each of the following sets consists of 3 names or 3 numbers numbered successively from 1) to 3). Arrange the names in alphabetical order and the numbers in ascending order from lowest to highest. Select the correct order from among the 3 alternatives listed next to each set of items. Review the example below to best complete this section.
  Example:
  1) Accent
  2) Accord
  3) Accept

  1,2,3

  2,1,3

  1,3,2
  
  Complete the following:

• 1) Hiney
  2) Hiner
  3) Hinely
  2, 3, 1 3, 2, 1 1, 3, 2
• 1) Pearson
  2) Pearce
  3) Peckham
  3, 1, 2 1, 2, 3 2, 1, 3
• 1) 24365
  2) 23465
  3) 24366
  1, 2, 3 2, 1, 3 3, 1, 2
• 1) 27475
  2) 27545
  3) 27485
  2, 1, 3 3, 2, 1 1, 3, 2

• Arithmetic, Subtraction and Addition

  Solve the following problems and select the correct answer from the alternatives listed. Review the example below to best complete this section.
  Examples:

  1)

  964 - 328 =

  
  

  644

  589

  636

  
  

  2)

  4348

  -88

  _____

  
  

  4260

  4485

  4180

  Complete the following:

• 1)
  1250 - 923 =
  428 327 332
• 2)
  800 - 568 =
  232 248 322
• 3)
  1937
  -98
  _____
  1940 1856 1839
• 4)
  2207
  -49
  _____
  2176 2288 2158
• 5)
  361 + 470 =
  831 731 719
• 6)
  372 + 731 =
  1202 1153 1103
• 7)
  2725
  +895
  _____
  4640 3620 3510
• 8)
  1869
  +987
  _____
  2856 2667 2876
• By selecting the "Submit" button, I agree to comply with all pertinent Election Laws and regulations including completion of all mandatory training. I certify I am a registered voter in Wilson County, and that I read, write, and speak the English language. I understand, as a Poll Worker, I serve at the will of the Election Commission and may be removed at any time, with or without cause and I also understand I may not be called to work every election.
  
  You agree that your electronic signature is the legal equivalent of your manual signature on this application. * I Agree