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Temporary Elections Worker Interest Form
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Temporary Elections Worker Interest Form
Please fill out this online form for consideration as a temporary elections worker with the Jefferson County Clerk and Recorder.
First Name
*
Last Name
*
Primary Phone Number
*
Secondary Phone Number
Your Email Address
*
Residential Address
*
Address Line 2
City
State
Zip Code
Country
Are you registered to vote?
*
Jefferson County
Other County
No
If you are currently registered in another county, please indicate which one.
Did you sign up at Caucus to be an Election Judge?
Yes
No
Political Party
*
Democrat
Republican
Unaffiliated
Other
If you marked 'Other' in the field above, please let us know what party you are registered with.
How comfortable are you with computers?
Very comfortable
Comfortable
Prefer no computer
Do you enjoy working with the public?
Yes
No; prefer behind the scenes position
Can you speak and translate another language?
Yes
No
If you marked 'Yes' in the field above, please let us know what language(s) you can speak and translate.
Have you worked with the Jefferson County Clerk and Recorder as an election (polling place) judge?
Yes
No
If you have worked with us before, please provide details.
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