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Poll Worker Application

Election Official Application ( Click here for the Paper Version ) .

First Name: *

Middle Initial: *

Last Name: *

Street Number: *

Street: *

Mailing City: *

Mailing State: *

Mailing Zip: *

Cell Phone Number: *

Alternate Phone Number:

Date of Birth: *

Email Address: *

How did you hear about becoming an Election Official? *
Current or most recent employer? *

Position or Title? *

Are you currently a government employee? *

Yes No

Are you a United States Citizen? *

Yes No

Are you registered to vote in Knox County? *

Yes No

What is your political affiliation?
(You must choose Democrat or Republican to work primary elections)

Democrat Republican Independent

Have you ever served as an Election Offical?

Yes No

Do you have reliable transportation?

Yes No

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Knoxville,TN 37902
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