2. Please complete the online form below. To serve, you must be a registered voter or willing to register. Chairpersons are paid $10.50/hour and election officials are paid $9.50/hour. Training is mandatory.
   
   
   
4. Personal Information
6. Select the position you are interested in:*
   -- Select One --Select OneElection ChairpersonElection OfficialPart-time Worker (any time of the day)Part-time worker (will arrange time with Clerk)
8. Name:*
10. Maiden Name:
12. Home Address:*
14. Home Phone Number:*
16. Mailing Address:*
18. Work/Cell Phone Number:*
20. Email Address:
22. Residency Information
24. Are you a registered voter:*

    1. Yes
    2. No
Leave This Blank:


25. Print Only

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