The County of Guadalupe

  

307 W. Court Street

 1101 Elbel Road, Ste. 7

Seguin, Texas 78105

 Schertz, Texas  78154

Phone: (830)303-6363

 Phone:  (210) 945-4199

Fax: (830)303-6373

¨     www.guadalupe-elections.com    ¨

 Fax: (210) 659-1225

 

Poll Worker Application

 

Name:________________________________________________________Voter Reg. No.______________Pct.No.______________
Address:______________________________________________________City:___________________State:______Zip:___________
Contact Numbers:  Home: ________________ Work:_______________ Cell:_______________ E-Mail:_____________________
Have you ever worked as a Poll Worker in Guadalupe County? ___ Y ___  N
Do you speak any other languages fluently?  ___ Y  ___  N
                        If yes, please specify:_____________________________________________________
Do you own or have use of a vehicle?  ___ Y ___  N
Are you a Guadalupe County employee?  ___ Y ___  N
Would you accept an assignment at another precinct other than your own? ___ Y   ___  N
Do you have prior experience as an election official from another jurisdiction? ___ Y ___  N
Do you have a political party affiliation?  If so, please specify:___________________________________________ ___ Y ___  N
Area of county you would be willing to work:__________________________    
Please check any positions you would be willing to work:    
         ___  Judge                                                          ___  Alternate Judge                   ___ Clerk
         ___  Early Voting Clerk                                      ___  Central Count Clerk            ___  Early Voting Ballot Board
         ___  Emergency Election Judge/Clerk (Training is required)
Please check any elections you would be willing to work:    
         ___  Primary Elections (March)    
         ___  Primary Run-Off Elections (April)    
         ___  General Elections/Constitutional Amendment Elections (November)    
         ___  Special Elections (Cities/Schools/Etc.)              ___  May      ___  November    
Please indicate any person who you know that might be willing to work in the polls:    
                      Name:                                      Address:                                               Telephone Number:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Comments: ________________________________________________________________________________________________________
_______________________________________________________________________________________

 

   ________________________________________________________
  Signature                                                      Date
Would you like to receive a copy of our Newsletter by e-mail?           _____ Yes       _____ No