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Poll Worker Application

  1. Application to Serve as a Poll Worker

  2. Instructions

    Being a Poll Worker is a rewarding experience and is a vital role in the exercise of democracy. Without Poll Workers, we could not conduct elections!

    To become a poll worker, you must be able to read and write English. You also need to be a registered voter, except in 2 circumstances when this requirement is waived:

    • A student 16 years of age or older in good standing at school
    • A permanent resident of the United States

  3. Check the appropriate box if you are not a registered voter:

    If you are not a registered voter, indicate whether you are a high school student older than 16 or a legal permanent resident of the United States.

  4. Complete the following fields:

    * required field.

  5. Enter your first, middle or initial, and last name as registered.

  6. Position(s) applying for:*

  7. Please provide a physical, residential street address, including city and zip code.

  8. Only provide if different than your physical, residential street address.

  9. Enter your daytime phone number including area code.

  10. Providing an email address is recommended, but not required.

  11. Please specify all languages you read and speak/understand.

  12. Availability*

    Please check all areas you can work.

  13. Leave This Blank:

  14. This field is not part of the form submission.