Election Worker Application

Election Worker Application

The application below is for the Palm Beach County Supervisor of Elections Office. If you are interested in applying, please complete the application form below. To apply for a position as a election worker in Palm Beach County, you must click "Submit" (at the end of the form). If you have any trouble with your electronic Election Worker Application Form, please call our office at (561) 656-6200, option 3.

Fields marked with a *Red Asterisk* are required.

First Name*

Middle Name or Initial

Last Name*

Florida Voter Registration Number

(If known)

Date of Birth*

Phone Number*

Phone

Street Address*

City*

Zip Code*

Email Address*

Current/Last Occupation (If Applicable)

Criteria (per Florida Statute 102.014)

Please select all that apply (Required to be a Poll Worker)

I am a registered (or pre-registered) voter of Palm Beach County

I am able to speak, read, and write the English language

Essential Job Functions

Please select all that apply (Required to be a Poll Worker)

I have reliable transportation

I am able to lift at least 40 pounds

I am able to start work at 5:30 am and understand that it could be a 14+ hour day

I am comfortable working as an Election Worker

Known Languages

Other than English, please specify other languages you know

"By clicking on the Submit button below, I certify that the foregoing answers are true, that I have read and understand the foregoing, that I have no physical disabilities that would hinder my performance at the polls, that I am now a registered voter in Palm Beach County, and I can read and write the English language as required by Florida State Law. Additionally, I understand that my job-specific poll worker position may require me to arrive earlier than 5:30 a.m. to complete my assigned duties as listed in my poll worker manual."

Please note: After completing this application and the orientation process, you will become part of our pool of prospective poll workers. Your name will remain active until you request that it be removed. Not all poll workers work every election. The number of poll workers for each election is determined by the size of the election and the expected turnout. Poll workers are chosen to work a specific election by their availability, willingness to travel, and the number of workers needed. While we like to keep an election board constant throughout an election cycle, this often cannot be done.

Complete

Your Home Precinct (If Known)

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