Lincoln County Clerk's Office Poll Worker Application
Date
MM
/
DD
/
YYYY
Last Name *
First Name *
M.I.
Residence Address *
Zip Code *
Daytime Phone Number *
Email Address
Pollworker Qualifications *
Required
My political party is *
I would prefer to work at *
Your home precinct can be found on your voter ID card.
Required
By initialling and submitting this form, I do affirm that the above information is true and correct to the best of my knowledge. *
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