Student Poll Worker Application

Involved at 17 Application
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*
School*
Phone
Email*
example@example.com
Parent/Guardian Printed Name*
Submission Date*

MonthDayYear
Date
As a student poll worker, I understand and agree that I am:*

Becoming a member of the Precinct Election BoardCommitting to work from 6:30 AM to at least 8:30 PM on Election Day, May 16thAcknowledging that I cannot show up late nor leave earlyMay need to travel to any part of the city, even if it is not close to my residenceMust attend virtual training, which is requiredResponsible for providing accurate and full information on the Election Day payroll sheet and understanding that failure to fill out the payroll sheet will result in non-payment
I am a Bilingual Interpreter and the languages I speak
I understand:

Interpreters must attend virtual certification training.Interpreters are used on a need basis if no interpreter is needed in your assigned polling location, you MAY be given the option to travel to where there is a vacancy.
Should be Empty:

Involved at 17 Application