Election Office
Bill Gale, Election Commissioner

Name:
Party: Select Party Democrat Republican Libertarian Reform Not Affiliated with a Party
Street Address:
City: 
Zip: 

Mailing Address, if different from Street Address:

Daytime Phone Number: 
Evening Phone Number:   
Cell Phone Number:   

Social Security Number (required): 

Are you a 16 or 17 year old student? Select One Yes No

Can you work outside your own area? Select One Yes No

Are you bi-lingual? Select one Yes No Languages spoken fluently

Positions you are interested in rank them in the top three:

Supervising Judge: Be able to learn all aspects of the Advance Vote Center and/or Polling Place site, supervise and assist 2-12 clerks, assign tasks to complete opening and closing procedures, and oversee all functions of the Advance Vote Center and/or Polling Place site and handle various voting issues that may arise.

Provisional Ballot Judge: Determine the correct ballot style for voters whose information does not match the registration database and assist voters in completing provisional ballot procedures. Be able to read maps accurately.

Cross-trained Clerk: Be able to learn all aspects of the Greeter, Check-in Clerk / Computer Operator, and Machine Clerk positions to facilitate a smooth work flow throughout the day.

• Greeter: Be able to direct incoming voters in a pleasant and correct manner. Be able to answer voter questions on voting procedures, show sample ballots to voters, and queue voters into lines to avoid congestion.

• Check-in Clerk: (Only at Election Day Polling Places) Be able to find voter names from an alphabetic list, check voter ID when required and complete a form with a voter’s assigned ballot style. Be attentive to detail.

• Computer Operator: (Only at Advance Vote Centers) Be able to learn a computer-based electronic poll book, key names of voters into the computer, check voter ID when required and assign a ballot style. Be attentive to detail. Basic knowledge of computer operation is necessary, including accurate search, retrieval, and entering procedures.

• Machine Clerk: Escort voters to the voting machines, set machines for correct ballot style for each voter and assist voters on use of the machine. Learn to operate voting equipment and troubleshoot basic equipment problems.

Advance Election Board Clerk: Be able to work multiple days, immediately before and including Election Day, opening and processing mailed-in advance ballots. Learn to operate a ballot counting machine.

All positions will participate in opening and closing procedures at the work site in addition to the tasks listed above.

I understand that I must attend training (usually 2 hours) prior to serving as an election worker, that I must be able to work all the hours for each day that I am assigned to work, and that ending times depend on voter turnout and length of time needed to complete all closing procedures.

First Choice: Select One Supervising Judge Provisional Ballot Judge Cross-Trained Clerk Advance Election Board Clerk
Second Choice: Select One Supervising Judge Provisional Ballot Judge Cross-Trained Clerk Advance Election Board Clerk  
Third Choice  Select One Supervising Judge Provisional Ballot Judge Cross-Trained Clerk Advance Election Board Clerk

Elections You Can Work: (check all that apply)