PLEASE REMIT TO:
Cherokee County Voter Registration & Elections---110 Railroad Ave---Gaffney, SC 29340--- 864-902-2307
Email: vote.cherokee@elections.sc.gov Fax: 864-902-1127
APPLICATION FOR POLL WORKER
(Please print ALL sections clearly)
Full Legal Name: ________________________________________________________________________________________
Preferred Name: _________________________________________________________________________________________
Date of Birth: _______________________________ Email: _________________________________________________
Home Address : __________________________________________________________________________________________
City: __________________________________________ State: _____________ Zip: _______________________________
Mailing (if different): _____________________________________________________________________________________
Home Phone: _________________________________ Cell Phone: ____________________________________________
Voter Registration Number: ______________________________________________________ (find at scvotes.org)
County in which you are registered to vote: ____________________________________________________________
Precinct/Polling Place where you normally vote: _______________________________________________________
*Student: _____YES or _____NO If so, Age: ______ Current School: ________________________________
Do you have any experience in working the voting polls inside or outside of Cherokee County?
_____YES or _____NO If so, please list years of service and duties:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I have read all the requirements and understand that by submitting this application, I am applying to be an
election worker for the Elections of Cherokee County. I understand that I will be contacted by the Elections
coordinator periodically to inquire about availability for training and working elections. Furthermore, I give
permission to be contacted for such by phone, email, and or mail.
Applicant Signature: _________________________________________________ Date: _____________
