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Precinct Election Official Employment Application
Date
MM
/
DD
/
YYYY
First Name
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Last Name
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Birthday M/D
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Address
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City
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State
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Zip
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Phone 1
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Phone 2
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Political Party
Have you ever been convicted of a felony?
Have you been a Precinct 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?
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:
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