Online Pollworker Application

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Please correct the field(s) marked in red below:

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Pollworker Requested Position:
Pollworker Requested Position:
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Name: (First & Last, e.g. John Smith)
 *
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Home Address (e.g. 123 Main Street):
 *
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City:
 *
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Zip Code:
 *
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Home Phone (please include area code):
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Cellular Phone:
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Mailing Address (only if different):
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City:
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Zip Code:
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Email Address:
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Date of Birth: (to confirm voter registration)
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Office Phone:
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Fax Number:
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Have you served as an Election Volunteer (Pollworker) in a Glendale Municipal Election?
Have you served as an Election Volunteer (Pollworker) in a Glendale Municipal Election?
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Do you speak a language other than English?
Do you speak a language other than English?
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Do you have transportation?
Do you have transportation?

Pollworker Pay

Clerks/Students receive a $100 stipend. (Must be U.S. Citizen or Legal Permanent Resident of the United States)

Inspectors receive up to a $200 stipend; this includes pick-up and delivery of election supplies. (Must be U.S. Citizen)

Inspectors, Clerks and Students:  An additional $40 for attending training class, providing you also work at the polls on Election Day.

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* I am at least 18 years old or older.

* I am at least 18 years old or older.
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* I certify that I am a

* I certify that I am a
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* I will be available to volunteer from 6:00 a.m. to 9:30 p.m. on Election Day.

* I will be available to volunteer from 6:00 a.m. to 9:30 p.m. on Election Day.
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