Poll Staff Application Form - Page 2
What position would you like to be considered for	Poll Clerk Poll Clerk and Count Presiding Officer Presiding Officer and Count Count Only
Please select the constituency in which you live.
Longford-Westmeath	Other Constituency
If you wish to add any further information please do so in the box below.
By submitting this application you confirm that you are not actively engaged in furthering the interests of a political party or the candidature of any candidate at the upcoming General (Dail) election and you are not employed by any person in connection with the elections. You understand that canvassing can include sharing posts of candidates on social media.