Ballot results for the candidate by precinct
| Candidate | Jarosińska Jolanta Maria |
| Age | 44 |
| Address and endorsements | Kozłowo |
| Constituency no. | 3 |
| Number of votes for the candidate | 116 |
| % of valid votes for the candidate | 4.36% |
| Number of votes for the list | 553 |
| % of votes for the candidate relating to votes for the list | 20.98% |
| Mandate | No |
gm. Kozłowo
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Dom Kultury w Kozłowie | 81 |
8.09% 
|
184 |
44.02%
|
| 2 | Szkoła Podstawowa w Zaborowie | 11 |
2.74%
|
40 |
27.50%
|
| 3 | Szkoła Podstawowa w Szkudaju | 3 |
1.37%
|
53 |
5.66%
|
| 4 | Gimnazjum w Szkotowie | 5 |
0.88%
|
146 |
3.42%
|
| 5 | Szkoła Podstawowa w Rogożu | 16 |
3.40%
|
130 |
12.31%
|