Lincoln County Clerk's Office Poll Worker Application
Date
MM
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DD
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YYYY
Last Name *
Your answer
First Name *
Your answer
M.I.
Your answer
Residence Address *
Your answer
Zip Code *
Your answer
Daytime Phone Number *
Your answer
Email Address
Your answer
I Prefer To Receive Correspondence Via *
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. *
Your answer
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