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Election Official Employment Application
You must be a registered voter in Cuyahoga County to be a Precinct Election Official.
First Name *
Your answer
Last Name *
Your answer
DOB (Month/Day) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone 1 *
Your answer
Phone 1 is a ...
Phone 2
Your answer
Phone 2 is a ...
Email address
Your answer
Preferred Method of Contact
Political Party *
Have you ever been convicted of a felony? *
Have you been an Election Official before?
Are you a registered voter at your current address?
Do you have a functioning vehicle?
If yes to previous question, are you willing to travel?
Do you speak Spanish fluently?
Are you able to lift at least thirty (30) pounds?
Please choose one of the options below to rate your level of comfort using smartphones/tablets and applications (apps).
Certificate of Application: I certify that all statements made in this application are true and complete to the best of my knowledge. I understand that any false statements or material facts will subject me to disqualification or dismissal. Please sign electronically below: *
Your answer
Job You Are Applying For (descriptions and pay rates can be found at *
How did you learn about the position(s) you are applying for?
If referred by a friend of family member, what was their name? This person will be entered into a drawing for a $25 gift card prize following the election.
Your answer
For Office Use Only
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