2022 Can we count you in?

Full Name *

First Name Last Name

E-mail *

example@example.com

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City

Zip Code

I want to work the upcoming elections!

Yes No

My availability

	August 23 Primary Election	November 8 General Election
I am available
I am not available

I am not available

I am not available for 2022, but keep me on the roles Please remove me from the roles

Thank you for your prior service. Would you tell us why you no longer want to work?

All answers are confidential

Comments or questions:

0/300

Are you interested in working Early Voting

No Yes

Have you worked at a polling site on Election Day in Okaloosa County?

Yes No

Have you worked Early Voting before in Okaloosa County?

No Yes

My availability (please note: we cannot guarantee you a position)

	Prefer Morning Shifts	Prefer Afternoon Shifts	Morning/Afternoon Ok
Primary Election 08/12-08/20
General Election 10/24-11/05

Location Preference

Please note: we may ask you to work a different location.

I am interested in this position

Please note: this is not a guarantee of employment

Comments or questions about Early Voting:

0/300

Did you retire in 2021? If you are an FRS retiree, please contact us or FRS *

Yes No

Are you interested in becoming a Clerk or Assistant Clerk?

Yes No

Are you interested in becoming a trainer?

Yes No

Can we count on you in 2022?