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2. 
4. Thank you for your interest in becoming a poll worker!

   The Franklin County Election Office is seeking dedicated workers and volunteers to ensure a successful election day. Please fill out the information below and an election official will contact you regarding your application.

6. First Name
7. Last Name
9. Street Address
11. City
12. State
13. Zip
15. Contact Number
16. Alternate Contact Number
18. Email Address
20. Party Affiliation

    1. Democratic
    2. Republican
    3. Libertarian
    4. No Labels Kansas
    5. United Kansas
    6. Unaffiliated
21. Polling Location (if known)

25. By checking the box below, you agree to the following:

    1. I hereby certify that, to the best of my knowledge, the provided information is true and accurate.
    2. I consent to receive the texts and/and emails related to elections such as election schedules, training schedules, reminders and other elections related information. You can unsubscribe anytime by contacting the Franklin County Clerk's Office at 785-229-3410.

    Note: Submitting this application enters you into the pool of prospective workers and does not guarantee a work assignment.

27. Agreement Conditions

    1. I agree to the above terms.
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field