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ISABEL LONGORIA
ELECTIONS ADMINISTRATOR
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Election Workers
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Election Worker Application
Note: Please provide your name as it shows on your voter registration.
* Last Name
* First Name
M.I.
Preferred Name
Pronoun
he/him
she/her
they/them
* Address
* City
* State
* Zip Code
Mailing Address (if different from above)
City
State
Zip Code
* Email
Note: We will be communicating with you via e-mail, so please provide an e-mail address.
* Primary Phone
Alternate Phone
Work Phone
* Date of Birth
* Are you a registered voter of Harris County?
Yes
No
* Are you a high school student?
Yes
No
* Have you ever worked as an election worker in Harris County?
Yes
No
If you answered "Yes", where did you work?
* Would you be willing to travel to work at a polling location?
Yes
No
How far would you be willing to travel?
Are you able to speak one of these languages? Check all that apply.
Spanish
Vietnamese
Mandarin
Cantonese
How did you hear about the Election Worker Recruitment?
Mail
Newspaper
Television
Radio
Internet/Social Media
Family/Friend
Presiding Judge
Other
Any additional information you wish to include:
Please make sure that you complete all fields that are preceded by an asterisk (*).
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