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Election Worker Application

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Please correct the field(s) marked in red below:

1
I would like to be an active participant in the political process and make a difference in our community.
I would like to be an active participant in the political process and make a difference in our community.
2
 
3
Mailing Address (if different from home address)
Mailing Address (if different from home address)
4
Phone Number
Phone Number
5
I am registered to vote in Nevada.
I am registered to vote in Nevada.
6
Date of Birth
7
Have you been an election worker before?
Have you been an election worker before?
8
If so, what were your duties?
9
I understand it may be a long work day and may require standing and walking for long periods of time.
I understand it may be a long work day and may require standing and walking for long periods of time.
10
How did you hear about volunteering as a Carson City election worker?
  1. To receive a copy of your submission, please fill out your email address below and submit.