Only fill this out if you are over the age of 18. If you are a 16 or 17 year-old student, please click here for a paper application.

Qualifications:

• Resident of Johnson County, Kansas
• Registered to vote at current address
• Social Security Card and Driver’s License (a clear/current copy for the payroll department.)
• Cannot be on the ballot or related to anyone on the ballot in the precinct where appointed
• Complete the mandatory training
• Available for the complete day (Please Note: Smoking is not allowed at any polling location)
• Polls are open 7:00 a.m. to 7:00 p.m.
• All election workers report to their assigned location no later than 1.5 hours prior to opening
• Following the closing, all workers assist in closing

Election Worker Job Expectations:

• Effectively communicate with voters and other workers.
• Be able to find voter names in the Poll Pad (iPad), check voter ID and be attentive to detail.
• Be able to work continuously for 14 or more hours.
• Be able to set-up the voting machines, escort voters to the voting machines, and assist voters on use of the machine.
• Be able to hold open the door for every voter, as required.
• Be able to set-up all aspects of the polling place.
• Satisfactorily complete the four hour classroom and minimum one hour hands-on training.

Last Name (Same as on Voter Registration) *

First Name (Same as on Voter Registration)*

Preferred Name

Birth Date*

Street# * Pre N S E W NE NW SE SW Street * Type Suf Apartment ALY ANX ARC AVE BCH BG BGS BLF BLFS BLVD BND BR BRG BRK BRKS BTM BYP CIR CIRS CLB CLF CLFS CMN CMNS COR CORS CP CPE CRES CRK CRSE CRST CSWY CT CTR CTRS CTS CURV CV CVS CY CYN DL DM DR DRS DV EST ESTS EXPY EXT EXTS FALL FLD FLDS FLS FLT FLTS FORK FRD FRDS FRG FRGS FRKS FRST FRY FT FWY GDN GDNS GLN GLNS GN GRNS GRV GRVS GTWY HBR HBRS HL HLS HOLW HTS HVN HWY INLT IS ISLE ISS JCT JCTS KNL KNLS KYS LAND LCK LCKS LDG LF LGT LGTS LK LKS LN LNDG LOOP MALL MDW MDWS MEWS ML MLS MNR MNRS MSN MT MTN MTNS MTWY NCK OPAS ORCH OVAL PARK PASS PATH PIKE PKY PL PLN PLNS PLZ PNE PNES PR PRT PRTS PSGE PT PTS RADL RAMP RD RDG RDGS RDS RIV RNCH ROW RPD RPDS RST RTE RUE RUN SHL SHLS SHR SHRS SKWY SMT SPG SPGS SPUR SQ SQS ST STA STRA STRM STS TER TPKE TRAK TRCE TRFY TRL TRLR TRWY TUNL UN UNS UPAS VIA VIS VL VLG VLGS VLY VLYS VW VWS WALK WALL WAY WAYS WL WLS XING XRD XRDS YU N S E W NE NW SE SW City* State* AL AK AZ AR CA CO CT DE DC FL GA IA ID IL HI IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY Zip Code*

E-mail Address*I do not have an email address

Home Phone

Please fill in at least 1 Phone number.

Work Phone

Cell Phone

Primary Phone*

Home Work Cell

Communication Preference*

Email Mail Email And Mail

Agree to receive text messages? * YesNo

Are you currently employed by Johnson County Government? Yes No

Required Field Airport Commission Appraiser Archives and Records Management Audit Services Automated Information Mapping System Board of County Commissioners Budget and Financial Planning Building Codes Community Development Contractor Licensing County Manager's Office Court Services Department of Corrections Developmental Supports District Attorney District Court Trustee District Courts Emergency Communications Emergency Management Evergreen Living Innovations Facilities Management Health and Environment Human Resources Human Services K-State Research and Extension Law Library Legal Library MED-ACT Mental Health Motor Vehicle Mission Office Motor Vehicle Olathe Office Museum Park and Recreation Planning and Codes Public Works Records and Tax Administration Sheriff Technology and Innovation Transit - The JO Treasury and Financial Management Wastewater

Emergency Contact 1

Name

Phone

Emergency Contact 2

Name

Phone

Indicate the maximum distance you are willing to travel to your assigned polling location on Election Day.

(one way) miles

Any special requests regarding your polling place assignment, please explain. click here to select the polling place

Please acknowledge the person or organization that referred you to us.

* Verification Code