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Poll Worker Application
Please enter your information in the spaces below. Thank you for your interest in becoming a poll worker. You are helping democracy work.
First Name: 
Last Name:  
Residence Address:  
Mailing Address:  
Email Address:  
Phone Number:  
Alternate Number:
Registered to vote in Pinal County?  
Are you a Pinal County employee?  
   Department (for County employees): 
Preferred location to work:
   Polling Place Location/City 
Preferred work assignment:
High School Student Workers: Pursuant to A.R.S. §16-531, minors are authorized to serve as poll workers as long as a person who is a minor will be at least sixteen years of age at the time of the election for which the person is named to the election board; a citizen of the United States at the time of the election; supervised by an adult who has been trained as an elections officer; student receives election training; and parent or guardian of student has provided written permission for the student to serve.
Student Worker?  
Age of Student Worker:
Name of School Student attends:
All applicants please answer:
Are you related to any other poll workers?  
Are you relates to any elected officials and/or candidates?  

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