Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

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. Acknowledgement of Appointment Procedure*

    Thank you for your interest in Lisbon’s election processes. Election Inspectors are generally appointed in late fall of odd-numbered years for a two-year cycle, with party-appointed persons taking preference. If we are in need of inspectors due to lack of staffing, we would then appoint additional inspectors as needed. Your name will be placed on our list for future appointment should the need arise. Otherwise, you will be contacted in late 2023 to ask if you are still interested in being appointed to the next 2-year term.

  14. Leave This Blank:

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