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Election Inspector (Poll Worker) Application

  1. Personal Information
  2. Are you legally entitled to work in the United States?*
  3. Are you age 18 or over?*
  4. Other Information
  5. Are you currently a registered member of a political party?*
  6. If yes, please indicate:
  7. Have you ever served as an election official?*
  8. Where do you prefer to work?*
  9. Which shift(s) do you prefer to work?*
  10. Would you like to be compensated?*
  11. Have you ever been convicted of any violations of law other than minor traffic violations?
  12. Note: Convictions are not an automatic bar to employment, but are reviewed in relation to the job for which you applied. Convictions not reported may be cause for discharge.
  13. Leave This Blank:

  14. This field is not part of the form submission.