Jasper County Board of Elections and Voter Registration Poll Manager Application ONLY CHECK THE DATES YOU ARE AVAILABLE TO WORK [ ] Tuesday, June 9, 2026, Statewide Primary Election [ ] Tuesday, June 23, 2026, Statewide Primary Run-off, if needed [ ] Tuesday, November 3, 2026, Statewide General Election ELECTION DAY TOTAL PAY (includes training): CLERKS $295 – MANAGERS $235 **TO BE ELIGIBLE TO WORK DURING EARLY VOTING DAYS YOU MUST BE AVAILABLE TO WORK THE ENRIE EARLY VOTING DATES LISTED BELOW, PLEASE DO NOT CHECK THIS BOX IF YOU NOT. [ ] **Early Voting Dates: 8:30am, Tuesday, May 26, 2026, - 5pm, Friday, June 5, 2026 [ ] **Early Voting Dates: 8:30am, Monday, October 19, 2026 – 6pm, Saturday, October 31, 2026 EARLY VOTING PAY (includes training): CLERKS $135 PER DAY – MANAGERS $75 PER DAY Applicant’s Oath: I do solemnly swear and affirm that I will conduct every election according to the law; will allow no person to vote who is not entitled by law to vote in any election; will not unlawfully assist any voter to prepare their ballot; and will not advise any voter as to how he/she should vote in any election. I also certify the information on this application is complete, accurate and truthful in every respect. Your Signature: ________________________________________________Date: ___________________________