Montgomery County Election Commission Prospective Election Official Information

For questions: Please contact us at (931) 648-5707 or [email protected]

Name: *

Address: *

Contact Phone Number: *

Contact Email: *

Are you a registered voter in Montgomery County?: *

Yes

(Only registered voters are eligible to serve, with one exception of seventeen (17) year old high school students.)

Date Of Birth: *

Have you ever served as an election official?: *

Yes

If yes, where?:

Are you presently employed by a Federal, County or Municipal government agency?: *

Yes

(If yes, you can not serve. State Law prohibits some government employees from serving as election officials, TCA 2-1-112.)

If yes, who?:

Do you have reliable means of transportation to and from the polls?: *

Yes

Are you able to work from approximately 6am-7:30pm on Election Day?: *

Yes

Are you willing to travel outside your precinct, but within Montgomery County, to work? : *

Yes

Do you have problems sitting or standing for long periods?: *

Yes

If yes, please explain:

Is there any particular job you are interested in?: *

Registrar

Machine Operator

Either

Are you comfortable using an iPad?: *

Yes

Please understand that your name will be added to our pool of workers that must be approved by the Election Commission. You will be notified by letter if appointed. Also, you will be required to attend a training class conducted by the Montgomery County Election Commission.

Signature: *

Date: *

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Montgomery County Government | 1 Millennium Plaza | Clarksville, TN 37040 | Contact Directory

Montgomery County Government complies with the following Civil Rights statutes;
Titles VI, VII, and IX of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,
Americans with Disabilities Act and the Age Discrimination Act of 1975.