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* 1. Please enter your contact information.

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* 2. ETHNICITY

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* 3. GENDER

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* 4. ARE YOU A FULTON COUNTY RESIDENT?

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* 5. DO YOU HAVE A VALID GA LICENSE AND YOUR OWN TRANSPORTATION?

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* 6. ARE YOU A FULTON COUNTY EMPLOYEE?

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* 7. HAVE YOU EVER WORKED AS A POLL WORKER IN FULTON COUNTY?

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* 8. ARE YOU FAMILIAR WITH PERSONAL COMPUTERS (PCS)?

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* 9. ARE YOU FAMILIAR WITH MICROSOFT WINDOWS OPERATING SYSTEM?

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* 10. IF NECESSARY, WOULD YOU SERVE AS AN ALTERNATE (STAND-BY)?

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* 11. OTHER THAN ENGLISH, DO YOU FLUENTLY SPEAK ANY OTHER LANGUAGES?

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* 12. IF YES, PLEASE IDENTIFY THE LANGUAGE(S):

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* 13. WHY DO YOU THINK POLL WORKERS ARE IMPORTANT TO CONDUCT ELECTIONS?

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* 14. DO YOU FORESEE ANY PROBLEMS IN WORKING FROM 6:00 A.M. TO 8:30 P.M. (I.E. 14.5 HOURS) ON ELECTION DAY(S)?

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* 15. DO YOU FORESEE ANY PROBLEMS IN ATTENDING THE MANDATORY "IN-PERSON" POLL WORKER TRAINING CLASSES?

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* 16. 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 Fulton 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 Supervisor of Elections and may be removed with, or without cause.

OATH

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* 17. SELECT DATE

Date

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* 18. WOULD YOU BE INTERESTED IN WORKING IN ANY OTHER CAPACITY IN THE ELECTIONS?

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* 19. PLEASE CHECK ALL THAT APPLY AS IT RELATES TO YOUR EMPLOYMENT BACKGROUND OR SKILL SET:

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