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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:  
Mailing Address:  
City:   Zip:  
Email Address:  
Phone Number:  
Are you over 18 years old? 
Are registered to vote? 
Are you willing to travel? 
Can we call you election morning to fill vacancies? 
Languages spoken in addition to English:

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