Name
*
First Name
Last Name
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime Phone
*
Format: (000) 000-0000.
Evening Phone
*
Format: (000) 000-0000.
Date of Birth
*
Parish of Residence
*
Position: (Check as many as you are interested)
*
Poll Commissioner - Election Day (Tuesday for Federal Elections, Saturday for State Elections)
Early Voting Commissioner - During Early Voting Session (Available during the work week and weekend)
Absentee Commissioner - During Election Day and Night (Possible 3 days prior to the election for largestatewide elections)
If applying for Early Voting Commissioner are you proficient in basic computer skills? (This is not required, it will simply help with task assignments)
Yes
No
Parish you are willing to work:
*
For Tuesday elections, can you report to work by 5:30 am?
Yes
No
For Saturday elections, can you report to work by 6:30 am?
Yes
No
Please check if you are interested in being a Poll Commissioner for future elections.
Yes I am interested.
No, I only want to work this election cycle.
Submit
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