Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

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

    * required field.

  3. Check the appropriate box:*

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

  5. Position(s) applying for:*

  6. Please provide the best phone number where we can reach you.

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

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

  9. Are you employed with the County of Humboldt?*

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

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

  12. Availability*

    Please check all areas you can work.

  13. Leave This Blank:

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