Form 307 "Questionnaire for Prospective Appointment as a Member, Director, or Deputy Director of the County Board of Elections" - Ohio

What Is Form 307?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2020;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 307 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 307 "Questionnaire for Prospective Appointment as a Member, Director, or Deputy Director of the County Board of Elections" - Ohio

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Form No. 307 (12-2020)
Questionnaire for Prospective Appointment as a Member, Director, or Deputy Director
of the County Board of Elections
County Board of Elections
Position of Appointee
Appointee Name, Residence Address, and Other Information
Courtesy Title
Street Address
First Name
City
Middle Name
State
Last Name
Zip Code
Suffix
Office Phone
Alias/Maiden Name
Home Phone
Ohio Driver's license/State ID
Cell/Mobile Phone
Social Security Number
Email Address
Date of Birth
(MM/DD/YYYY)
Previous Address Information
Have you resided at the same address for the past 10 years? If no, please provide the years of
residence, city, and state for each previous address in the space below.
Question instructions:
Please provide a response for 1-7 below. If you respond yes to any of the following questions,
please provide details as requested. Prospective appointees as members of the board must complete the education and
employment section.
1. Are you currently holding any elected office? If yes, please identify the office.
2. Are you currently holding any appointed office for which you must subsequently be elected?
If yes, please identify the office.
3. Have you ever been convicted of a misdemeanor (other than minor-traffic related offenses) or a
felony? If yes, please provide details of the conviction (what, when, where and final disposition).
4. Are there any circumstances which might present a conflict of interest with the administrative duties
for you as a member, director or deputy director of the board of elections (see SOS ethics policy)? If yes ,
please identify.
5. Have you had any employment or interests in contracts with the board of elections within the last 24
months? If yes, please describe.
Form No. 307 (12-2020)
Questionnaire for Prospective Appointment as a Member, Director, or Deputy Director
of the County Board of Elections
County Board of Elections
Position of Appointee
Appointee Name, Residence Address, and Other Information
Courtesy Title
Street Address
First Name
City
Middle Name
State
Last Name
Zip Code
Suffix
Office Phone
Alias/Maiden Name
Home Phone
Ohio Driver's license/State ID
Cell/Mobile Phone
Social Security Number
Email Address
Date of Birth
(MM/DD/YYYY)
Previous Address Information
Have you resided at the same address for the past 10 years? If no, please provide the years of
residence, city, and state for each previous address in the space below.
Question instructions:
Please provide a response for 1-7 below. If you respond yes to any of the following questions,
please provide details as requested. Prospective appointees as members of the board must complete the education and
employment section.
1. Are you currently holding any elected office? If yes, please identify the office.
2. Are you currently holding any appointed office for which you must subsequently be elected?
If yes, please identify the office.
3. Have you ever been convicted of a misdemeanor (other than minor-traffic related offenses) or a
felony? If yes, please provide details of the conviction (what, when, where and final disposition).
4. Are there any circumstances which might present a conflict of interest with the administrative duties
for you as a member, director or deputy director of the board of elections (see SOS ethics policy)? If yes ,
please identify.
5. Have you had any employment or interests in contracts with the board of elections within the last 24
months? If yes, please describe.
6. Have you ever been required, as a candidate or campaign treasurer, to file a campaign finance report
with any board of elections or the Secretary of State? If yes, please list all campaigns, political parties,
political action committees, etc. for which a campaign finance report was filed by you as a candidate or
treasurer.
7. Has a campaign in which you were involved as a candidate or treasurer ever been the subject of a
referral or complaint to the Ohio Elections Commission? If yes, please explain.
Education (prospective member appointees only)
In the space below, please provide a brief summary of your educational attainment and achievement. Include relevant
scholastic achievements, recognitions, awards, and honors. Information from the education portion of your resume may be
copied and pasted in the space below.
Employment (prospective member appointees only)
In the space below, please provide a brief summary of your past and current employment history. Information from the
employment portion of your resume may be copied and pasted in the space below.
Business Address Information
(prospective member appointees only)
Business Name
Address
City
Occupation
State
OH
Phone
Zip Code
Background Check Disclosure, Authorization and Release for Prospective Appointment
as a Member, Director, or Deputy Director of a Board of Elections
Section I: Disclosure
This form, which you should read carefully, has been provided to you because the Ohio Secretary of State's office may
request investigative reports on you from various public and private reporting agencies. The Ohio Secretary of State's office
will use any such report(s) solely for appointment and employment related purposes.
Investigative reports may be obtained from a background check vendor and/or public agencies and provided to the Ohio
Secretary of State's office. The types of information that may be obtained include but are not limited to: Social Security
Number verification, criminal records checks, public court records checks, driving record checks, state tax information, etc.
Any such reports are public records under Ohio's public records laws unless specifically exempt from disclosure.
Section II: Authorization and Release
I have carefully read and understand this Disclosure, Authorization and Release form. By my signature below, I consent to
the release of investigative reports to the Ohio Secretary of State in conjunction with my application for prospective
appointment as a Member, Director or Deputy Director of a county board of elections. I also authorize disclosure to the Ohio
Secretary of State and/or the background check vendor of information concerning my motor vehicle history and standing,
criminal history, state tax information and all other information the Ohio Secretary of State deems pertinent by any
individual, corporation or other private or public entity, including without limitation to the following: law enforcement
agencies; federal, state and local courts; motor vehicle records agencies; state tax agencies; and other applicable sources. I
hereby release and hold the vendor and the Ohio Secretary of State and his employees and appointees harmless from any
and all liability with respect to the investigations, verifications, and/or the use of any information relevant to my
appointment or employment.
I understand that if I am appointed or hired, my consent will apply throughout the term of my appointment or employment
to the extent permitted by law.
This Disclosure, Authorization and Release form, in original, faxed, photocopied, or electronic form, will be valid for any
reports that may be requested by the Ohio Secretary of State.
I understand that providing any false information or omitting any material information on my resume and/or Questionnaire
for Prospective Appointment as a Member, Director or Deputy Director of a County Board of Elections may be sufficient
grounds for rejection of the application or termination of the appointment or employment whenever discovered.
Date Signed
(MM/DD/YYYY)
(Required)
Prospective Appointee Signature
Instructions for Submission
1. Submit the information on the completed form by selecting the submit button below.
2. After the form is submitted, a date/time stamp with a receipt number will appear on the form. You will then be
prompted to print and sign the form.
3. The prospective appointee must sign the completed form.
4. All prospective appointees as members of the board of elections must submit a resume.
5. The signed and completed form and resume (member appointees only) must then be transmitted to the Ohio
Secretary of State by email to boardinfo@OhioSoS.gov.
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