Bilingual Election Worker: Interest Form

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Do you speak Spanish & English? We need you to help your neighbors vote! Become a bilingual election worker! Here is a link to a flyer with more information.

First Name:

Last Name:

Street Address:

City:

Zip Code:

Email:

Phone:

Is this number also good for texting?

Yes

Clear selection

Birthday:

YYYY

Interest level?

I definitely want to do this. Put me on the list.

I am interested, and would like some more information.

Other:

Clear selection

Are you interested in finding out more about the student program for people 16 years old and still in High School?

Yes

Clear selection

Have you ever worked as an election worker before?

Yes

Clear selection

Which election day job are you most interested in doing?

Election Clerk/Bilingual Clerk

Election Judge/Bilingual Judge

Whatever is needed.

Not sure. I need more information about the jobs.

Clear selection

How did you come across this form? (For example: Facebook, saw a flyer at a meeting, etc.)

Is there anything else you would like to tell us or ask us?

Submit

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