Poll Worker Application
To become an Election Judge, please fill out and submit the following application.

You will be contacted by a Judge Supervisor if/when an opening is available.
* Indicates required questions

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Full Name
First Name
 *
Middle Name
 *
Last Name
 *
Contact Information
Email *
Phone Number
 *
Phone Type
 *
Personal Information
SSN Last Four
 *
Date of Birth
 *
MM
/
DD
/
YYYY
Party Affiliation
 *
Address (Must reside in Missouri)
Physical Address
 *
City
 *
State
 *
Zip Code
 *
Do you have a reliable method of transportation? (Poll workers are required to be at their assigned poll at 5AM on election morning.)
 *
Are you willing to serve anywhere within the KCMO service area? *
Are you fluent in any languages other than English? *
If "Yes", please list which languages you are fluent in.
Are you currently employed by Jackson County or the city of Kansas City Missouri? *
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