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  • Poll Worker Application

    Please fill out the application below
    Please fill out the form below. The Pima County Elections Department will contact you after reviewing your information. Please call us at (520) 724-6830 if you have any questions.

    Contact Information

    First Name: *     Last Name: *  

    Daytime Phone: *    Evening Phone:  

    Mobile Phone:  

    Email: *  

    Mailing Address:


    Residential Address (If Different from Mailing):


    Pollworker Questions

    I am registered to vote in Pima County as a:
    Democrat    Republican   Libertarian   Green   Other

    What language(s) are you fluent in? English    Spanish   O'odham   Yoeme   Other

    Have you worked an election before? Yes    No  

    If so, where and when?


    What position did you work? Inspector    Judge   Marshal   Clerk   Other

    Are you able to work 12-16 hours on Election Day? Yes    No  

    Do you have your own transportation? Yes    No  

     

    Referred from Page: 



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    Elections Department

    Brad Nelson, (CERA)
    Elections Director
    6550 S. Country Club Road
    Tucson, AZ 85756

    Phone: (520) 724-6830

    Fax: (520) 724-6870
    TTY: (520) 724-6871


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