2. Thank you for your interest in working as a poll worker. To be a poll worker, you must be non-partisan when on the job, able to walk easily to assist curbside voters, and able to move elections equipment up to (30 lbs).  You must have your own transportation to and from the site. Computer skills and experience are required to work at check-in.

4. First Name*
5. Last Name*
7. Home Address
9. City
10. State
11. Zip Code
13. Mailing Address
    (If different from home address)
15. City
16. State
17. Zip Code
19. Date of Birth*
20. Email*
21. Phone Number*
23. Are you a registered voter?

    1. Yes
    2. No
24. Position interested in

    1. Any Position
    2. Chief Judge
    3. Emergency Worker
    4. Judge
    5. One-Stop Worker
    6. Paperwork Assistant (PWA)
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field