Clayton County Poll Worker Application Clayton County Poll Worker Application Clayton County Poll Worker Application Title First Name * M.I. Last Name * Address/ Street Name and Number * City * State/Province/Region * Province/ZIP Code * Home Phone * Cell Phone * Work Phone ext Email Are you a Clayton County Resident? * YesNo Do you have a valid GA License and your own transportation? * YesNo Are you a Clayton County Employee? * YesNo Have you ever worked as a poll worker in Clayton County? * YesNo Are you familiar with Computers? * YesNo If necessary, would you serve as an Alternate (stand-by)? * YesNo Do you speak any language(s) other than English fluently? * YesNo If Yes, please identify the language(s) Do you foresee any problems in working from 6 am to 8:30 pm (i.e. 14.5 hours) on Election Day(s)? * YesNo Do you foresee any problems in attending the mandatory 4 hours poll worker training classes? * YesNo Have you been referred by someone? * YesNo If yes, by who? I am not a convicted felon, or if I am, my rights related to voting have been restored. If I am duly appointed as a poll worker, a deputy, or an alternate in Clayton County, I will faithfully perform my duties to the best of my ability and according to the election laws of the State of Georgia, I understand that, as a poll worker, I serve at the will of the Elections Director and may be removed with, or without cause. I have received a copy of, understand, and agree to abide by the poll worker guidelines. Oath * I do Solemnly Swear or AffirmI do NOT Solemnly Swear or Affirm Select Date reCAPTCHA If you are human, leave this field blank. Submit
