Election Worker Application

First Name
Last Name
Zip Code
Mailing Address: (If different from Residence, include apartment #)
Mailing City
Mailing State
Mailing State
Mailing Zip-Code
1st Contact Number
1st Contact Number Type
2nd Contact Number
2nd Contact Number Type
Date of Birth
Florida Voter Registration Number: (#########) [Not Required]
E-mail Address: (example: abc@123.com)
Confirm E-mail Address: (re-enter e-mail address)
Precinct [Optional]
Select you home precinct
1. Are you retired from the Florida State Retirement System

If yes, date of retirement
2. Are you fluent in any language(s) other than English?

if yes, what language(s)
3. Do you have transportation to and from training and on Election Day

4. How far are you willing to travel from your home?

5. Have you ever worked as an election worker before

If yes, where and when
6. I am confortable with learning new technology

7. I am comfortable reading and following techincal instructions

8. I have experience using Windows software programs

9. Are you a registered voter in Osceola County?

Additional Questions
Please check all that apply

Please summarize any special skills and/or qualifications you have acquired from employment, volunteer work or through other activities
I certify that the foregoing answers are true; that I agree to comply with all pertinent election laws including attendance at mandatory training classes. I further certify that I am a registered voter in Osceola County; that I have no physical disabilities that would hinder my performance at the polls, and I can read, write and speak the English language as required by Florida State Law. I understand that as an Election Worker, I serve at the will of the Supervisor of Elections and may be remov
*Prospective Election Workers are required to attend an orientation and pass a competency test before being selected. You will be contacted by mail to attend an orientation session. The number of Election Workers for each election is determined by the size of the election and the expected voter turnout. Election Workers are chosen to work a specific election by their availability, skills, willingness to travel and the number of workers needed.
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