Poll Worker Application
Become a Poll Worker
* Required
Email address
*
Your email
Full Name
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Phone number
*
Your answer
Desired Position
*
Clerk
Assistant Clerk
EvID Operator
Ballot Inspector
Voting System Technician
Backup Voting System Technician
Early Voting Pollworker
Poll Deputy
Required
Do you speak any other language?
Spanish
Creole
Other:
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