Poll worker application

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Online poll worker application
click here for a printable form [PDF]

Last name

First name

Middle name/Initial

Street address

City

Zip code

Mailing address

City

Zip code

Home telephone

Alternate telephone

E-mail address

Do you speak a second language? Yes No (Must select one)

If so specify language:

Do you have technical skills? Yes No

If so, specify skills:

Please answer the following questions:

I am able to attend training classes: Weekends only Weekdays only Anytime

I have laptop computer experience: Yes Desktop only No

I have leadership or managerial experience: Yes Yes, but limited No

I am willing to work 14-16 hours, 1-2 days a year: Yes Maybe No

By sending this application, “I certify that the foregoing answers are true, that I have read and understand the foregoing, that I am now a registered voter in Volusia County, and that I can read and write the English language. I also understand that, as a Poll Worker, I serve at the will of the Supervisor of Elections and may be removed with or without cause.”

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