Election Precinct Officer Application - Whitley County Clerk

Step 1 of 4 - Name & Address

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Name*
First Last
Last 4 digits of your SSN*
Date
MM slash DD slash YYYY
Residence Address
Street Address
Mailing Address
Street Address Address Line 2 City State ZIP Code

Home Phone*
Contact Phone*
Email
Okay to use?
- Yes
- No
Preferred method of contact
- Phone
- E-Mail
- Either
Best time to contact you*
(8:00am–5:00pm)
- AM
- PM
How did you learn that we need Election Officers?*
Please describe:

Are you interested in working as an Election Officer on 11/3/2020?
- Yes
- No
Are you registered to vote in Jefferson County Kentucky?
- Yes
- No
Will you be at least 18 years old by November 3, 2020?
- Yes
- No
Have you changed your political party affiliation within the past year?
- Yes
- No
Can you work at a polling location outside of your precinct?
- Yes
- No
Are you comfortable with electronic devices, computers, and office equipment?
- Yes
- No
Would you be comfortable completing forms, paperwork and reports?
- Yes
- No
Do you have any customer service experience?
- Yes
- No
Do you like working as part of a team?
- Yes
- No
Do you have a problem working a 13+ hour day, without leaving your assigned location?
- Yes
- No
Do you have any physical limitations that would prevent you from helping set up and tear down the election equipment? (Lifting, standing, sitting, hearing, vision)
- Yes
- No
Do you speak more than one language?
- Yes
- No
If yes, which language(s)

By signing below, you agree that you meet all qualifications and that you are willing to perform all duties for elections day.

CarolynWillis

Whitley County Clerk

Carolyn Willis

Office Hours

Main:

Monday: 7:30 AM to 5:30 PM
Tue-Fri: 7:30 AM to 4:30 PM

Branch:

Monday: 8:00 AM to 5:30 PM
Tue-Fri: 8:00 AM to 4:30 PM

Holiday Closures

Contact Details

Mailing address:

P.O. Box 8
Williamsburg, KY 40769

Address:

200 Main St #2
Williamsburg, KY 40769

Phone:

(606) 549-6002
(606) 549-6003
Fax: (606) 549-2790
Email: [email protected]

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