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LIBERTY COUNTY BOARD OF ELECTIONS AND REGISTRATION POLL WORKER APPLICATION Please complete this application to apply for a position as an Election Poll Worker. Thank you First Name Middle Name or Initial Last Name Georgia Voter Registration Number (if known) Phone Number Street Address City Zip Code Your Home Precinct E-mail Address What is your current/last occupation? Please check all that apply I am a citizen of the United States and a resident of Liberty County. I am able to speak, read, and write the English language. I have my own transportation. I am able to start work at 6:00 a.m. and work 14 or more hours per day. I am comfortable working with a personal computer system. Other than English, please specify other languages you know Languages you know ---PAGE BREAK--- 21-2-92. Qualifications of poll officers; service during municipal election or primary Poll officers appointed pursuant to Code Sections 21-2-90 and 21-2-91 shall be judicious, intelligent, and upright citizens of the United States, residents of or otherwise employed by the county in which they are appointed or, in the case of municipal elections, residents of or otherwise employed by the municipality in which the election is to be held or of the county in which that municipality is located, 16 years of age or over, and shall be able to read, write, and speak the English language. No poll officer shall be eligible for any nomination for public office or to be voted for at a primary or election at which the poll officer shall serve. No person who is otherwise holding public office, other than a political party office, shall be eligible to be appointed as or to serve as a poll officer. A parent, spouse, child, brother, sister, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law of a candidate shall not be eligible to serve as a poll officer in any precinct in which such candidate's name appears on the ballot in any primary or election. Notwithstanding the provisions of subsection of this Code section, in the event that a municipal primary or election is held in conjunction with a regular county, state, or federal election, poll officers assigned by the county election superintendent to conduct such county, state, or federal election shall also be authorized to serve as poll officers to conduct such municipal election or primary and shall not be required to be residents of said municipality. Signature Print Name Please note: After completing this application and the orientation process, you will become part of our pool of prospective poll workers. Your name will remain active until you request that it be removed. Not all poll workers work every election. The number of poll workers for each election is determined by the size of the election and the expected turnout. Poll workers are chosen to work a specific election by their availability, willingness to travel, and the number of workers needed.