Fillable - Poll Worker Internship Application[5] (State of Alabama)

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- Poll Worker Internship Application[5] (State of Alabama)

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BROWSE STATE OF ALABAMA (AL) FORMS

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_______________________________ ____________________ _______________________________
First Name Middle Last Name
____________________________________________ __________________________ ____________
Address City Zip Code
___________________________ _____________________________ __________________________
Home Phone Number Cell Phone Number Date of Birth
_______________________________________________________________________________________
Email
You must meet all of the following qualifications to be considered:
1. Have you been recommended by a principal, other school Yes No
official, or the individual responsible for your home instruction
program below?
2. Will you be at least 16 years of age at the time of the election? Yes No
3. Are you enrolled in a public high school, an accredited private
high school, home instruction program, or two-year or four year Yes No
higher education institution?
4. Only answer if you are in high school: Are you classified as a junior Yes No
or senior or the equivalent?
5. Are you a resident of the county or municipality of the election? Yes No
“I will handle my responsibilities as a student poll worker intern with full honesty and integrity. I will report
to my assigned polling location in a timely manner and I will not leave until released by the poll managers
from my duties.”
________________________________________ ____________________________________
Student Signature Date
TO BE COMPLETED BY PRINCIPAL OR OTHER SCHOOL OFFICIAL:
* If chosen by the Probate Judge to serve as a student poll worker intern, students who work 4 or more hours in a day during school hours on the day of an
election or any day of training shall be entitled to an excused absence from school for purposes of Chapter 28 of Title 16, Code of Alabama 1975.
Recommended by:
_________________________________________ ______________________________________
Print Name and Title Signature
_________________________________________ ______________________________________
Date School
Please return completed form to your county Probate Judge. Probate Judges may choose up to 2 high school or
college students to work as unpaid student interns at each polling place in the county on Election Day.
The listing of county Probate Judge contact information can be found on the back of this form.
For questions, please call The Alabama Secretary of State’s Elections Division at (334)-242-7210.
Student Poll Worker Intern Application
Autauga
176 W Fifth Street, Prattville, AL,
36067
(334) 361-3728
kim.kervin@autauga.com
Baldwin
220 Courthouse Square, Bay
Minette, AL, 36507
(251) 937-0260
harry.dolive@baldwincountyal.gov
Barbour
303 E Broad St. #101, Eufaula, AL,
36072
(334) 687-1530
sshorter@barbourcountyeufaula.co
m
Bibb
8 Court Sq. W, Suite A, Centreville,
AL, 35042
(205) 926-3108
bibbcojop@bellsouth.net
Blount
220 2nd Ave E, Room 101,
Oneonta, AL, 35121
(205) 625-4191
cgreen@blountcountyal.gov
Bullock
217 N Prairie St., PO Box 71, Union
Springs, AL, 36089
(334) 738-2250
jtatumjet@gmail.com
Butler
700 Court Sq., PO Box 756,
Greenville, AL, 36037
(334) 382-3512
judgesnorman@gmail.com
Calhoun
1702 Noble Street, Suite 102,
Anniston, AL, 36202
(256)-241-2825
amartin@calhouncounty.org
Chambers
2 South Lafayette St., Lafayette, AL,
36862
(334)-864-4380
paul.story@chamberscountyal.gov
Cherokee
260 Cedar Bluff Road, Suite 101,
Centre, AL, 35960
(256) 927-3363
tburgess@cherokeecounty-al.gov
Chilton
500 2
nd
Ave N, PO Box 270, Clanton,
AL, 35045
(205) 755-1555
probate@chiltoncounty.org
Choctaw
117 South Mulberry Ave, Butler, AL,
36904
(205) 459-2414
probatejudge15@tds.net
Clarke
114 Court St., PO Box 10, Grove
Hill, AL, 36451
(251) 275-3251
vbradforddavis@gmail.com
Clay
25 Court Square, PO Box 1120,
Ashland, AL, 36251
(256) 354-2198
dbclayjop@aol.com
Cleburne
120 Vickery Street, Room 101,
Heflin, AL, 36264
(256) 463-5655
ryanr@cleburnecounty.us
Coffee
101 S Edwards St., PO Box 311247,
Enterprise, AL, 36331
(334) 897-2211
sblair@co.coffee.al.us
Colbert
201 N Main St., PO Box 47,
Tuscumbia, AL, 35674
(256) 314-5820
danorosser@aol.com
Conecuh
111 Court St., PO Box 149,
Evergreen, AL, 36401
(251) 578-1221
sflemming@conecuhcounty.us
Coosa
9709 US Hwy 231 Main St., PO Box
218, Rockford, AL, 35136
(256) 377-4919
coosacountyprobate@outlook.com
Covington
1K N Court Sq., PO Box 789,
Andalusia, AL, 36420
(334) 428-2510
stacy.brooks@covcounty.com
Crenshaw
29 S Glenwood Ave., PO Box 328,
Luverne, AL, 36049
(334) 335-6568 226
probateinsurance@hotmail.com
Cullman
500 2
nd
Ave SW., PO Box 970,
Cullman, AL, 35056
(256) 775-4665
tbrown@co.cullman.al.us
Dale
100 E Court Sq., PO Box 580, Ozark,
AL, 36361
(334) 774-2754
probatejudge@dalecountyal.us
Dallas
105 Lauderdale St., PO Box 987,
Selma, AL, 36702
(334) 876-4830
jnunn@dallascounty-al.org
DeKalb
300 Grand Ave. SW Suite 100, Fort
Payne, AL, 35967
(256) 845-8510
judgeronnieosborn@dekalbcounty
al.us
Elmore
100 E. Commerce St., PO Box 280,
Wetumpka, AL, 36092
(334) 567-1140
probatejudge@elmoreco.org
Escambia
314 Bel
leville Ave., PO Box 557,
Brewton, AL, 36427
(251) 867-0297
dagerton@co.escambia.al.us
Etowah
800 Forrest Ave., PO Box 187,
Gadsden, AL, 35902
(256) 549-5334
shassell@etowahcounty.org
Fayette
113 Temple Ave., PO Box 670,
Fayette, AL, 35555
(205) 932-4519
kmfreeman@centurytel.net
Franklin
410 Jackson Ave. N, PO Box 70,
Russellville, AL, 35653
(256) 332-8801
fcpjudge@hiwaay.net
Geneva
200 N Commerce St., PO Box 430,
Geneva, AL, 36340
(334) 684-5640
toby.seay@genevacountyal.gov
Greene
400 Morrow Ave., PO Box 790,
Eutaw, AL, 35462
(205) 372-3340
rwedgeworth@greenealabama.org
Hale
1001 Main St., Greensboro, AL,
36744
(334) 624-8740
arthurcrawford555@hotmail.com
Henry
101 Courtsquare, Suite B, Abbeville,
AL, 36310
(334) 585-3257
mdmoney72@msn.com
Houston
462 N Oates St., PO Box 6406,
Dothan, AL, 36302
(334) 677-4792
pdavenport@houstoncounty.org
Jackson
102 E Laurel St., PO Box 128,
Scottsboro, AL, 35768
(256) 574-9290
probatejudge@jcch.net
Jefferson
716 Richard Arrington, Jr. Blvd,
Birmingham, AL, 35203
(205) 325-5426
kinga@jccal.org
(205) 325-5426
fridays@jccal.org
Lamar
44690 Hwy 17, PO Box 338,
Vernon, AL, 35592
(205) 695-9119
sdnethery@aol.com
Lauderdale
200 S Court St., PO Box 1059,
Florence, AL, 35631
(256) 760-5804
wmotlow@lauderdalecountyal.gov
Lawrence
14451 Market St., Suite 130, Court
St., Moulton, AL, 35650
(256) 974-2439
gd2222.gd@gmail.com
Lee
215 S 9
th
St., PO Box 2266, Opelika,
AL, 36803
(334) 737-3670
probatejudge@mindspring.com
Limestone
100 South Clinton Street, Suite D,
Athens, AL, 35611
(256) 233-6427
charles.woodroof@limestonecount
y-al.gov
Lowndes
1 S Washington St., PO Box 5,
Hayneville, AL, 36040
(334) 548-2365
probate2365@htcnet.net
Macon
101 East Rosa Parks Ave, Suite 101,
Tuskegee, AL, 36083
(334) 724-2611
jamescooper105@gmail.com
Madison
100 North Side Square, Room 101,
Huntsville, AL, 35801
(256) 532-3330
fbarger@madisoncountyal.org
Marengo
101 E Coats Ave., #104, PO Box
480668, Linden, AL, 36748
(334) 295-2210
marengoprobate@gmail.com
Marion
132 Military St S., PO Box 1687,
Hamilton, AL, 35570
(205) 921-2471
paigenvick@gmail.com
Marshall
425 Gunter Ave, Suite 110,
Guntersville, AL, 35976
(256) 571-7764
alecroy@marshallco.org
Mobile
151 Government St., PO Box 7,
Mobile, AL, 36601
(251) 574-6000
don.davis@probate.mobilecountyal
.gov
Monroe
65 N Alabama Ave., PO Box 665,
Monroeville, AL, 36461
(251) 743-4107
sonyastinson@monroecountyal.go
v
Montgomery
101 S Lawrence St., PO Box 223,
Montgomery, AL, 36101
(334) 832-1240
stevenreed@mc-ala.org
Morgan
302 Lee St. NE #2, PO Box 848,
Decatur, AL, 35602
(256) 351-4675
gcain@co.morgan.al.us
Perry
300 Washington St., PO Box 478,
Marion, AL, 36756
(334) 683-
2210
eldoraanderson@bellsouth.net
Pickens
50 Courthouse Sq., #106, PO Box
370, Carrollton, AL, 35447
(205) 367-2010
davidpate@nctv.com
Pike
120 W. Church Street, Troy, AL,
36081
(334) 566-1246
judgebunn@pikeprobate.com
Randolph
1 Main St. S, PO Box 249,
Wedowee, AL, 36278
(256) 357-4933
probatejudge56@yahoo.com
Russell
1000 Broad St., PO Box 700, Phenix
City, AL, 36867
(334) 298-7979
ahardenrcpj@ctvea.net
Shelby
112 N Main St., PO Box 825,
Columbiana, AL, 35051
(205) 669-3713
aboyd@shelbyal.com
St. Clair
165 5
th
Ave., PO Box 220, Ashville,
AL, 35953
(205) 594-2120
mbowling@stclairco.com
Sumter
115 Marshall St., PO Box 1040,
Livingston, AL, 35470
(205) 652-7281
sumterprobatejudge@yahoo.com
Talladega
1 Court Sq., PO Box 737, Talladega,
AL, 35161
(256) 362-4175
randy.jinks@talladegacountyal.org
Tallapoosa
125 N Broadnax Street, Room 12,
Dadeville, AL, 36853
(256) 825-4266
teast@tallaco.com
Tuscaloosa
714 Greensboro Ave., PO Box
20067, Tuscaloosa, AL, 35402
(205) 349-3870
probatejudge@tuscco.com
Walker
1900 3
rd
Ave., PO Box 502, Jasper,
AL, 35502
(205) 384-7284
a.tucker@walkercountyal.us
Washington
45 Court St., PO Box 549, Chatom,
AL, 36518
(251) 847-2201
judgewilliams@washprobate.com
Wilcox
100 Broad St., #400B, PO Box 668,
Camden, AL, 36726
(334) 682-4883
electbja@gmail.com
Winston
2515 AL-195 #1, PO Box 27, Double
Springs, AL, 35553
(205) 489-5219
winstoncountyprobateoffice@yaho
o.com
County Probate Judge Offices and Phone Numbers
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- Poll Worker Internship Application5 (State of Alabama)

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Completed 20 July 2020

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