Form Center

2. Name*
4. Residence Address*
6. City*
7. State*
8. Zip Code*
10. Contact Phone Number*
11. Email Address*
13. U.S. Citizen?

    1. Yes
    2. No
14. Registered voter?*

    1. Yes
    2. No
16. Can you attend 1 to 2 paid mandatory trainings? *

    1. Yes
    2. No
17. Can you commit to a total of 2-3 hours of training? *

    1. Yes
    2. No
19. Poll Worker Expectations
    Poll Worker Expectations (PDF)
21. Do you understand what is expected of a Poll Worker? (14 to 14 ½ hours without leaving the Polling Place on Election Day and a total of 2-3 hours of training.)*

    1. Yes
    2. No
23. Are you related to anyone running for office or currently elected in office?*

    1. Yes
    2. No
24. If needed, can you operate an electronic tablet? *

    1. Yes
    2. No
26. If yes, what would you say your skill level is for using an electronic tablet from 1 to 10?
27. 2023 Elections*

    The dates for the 2023 Elections are below, please check the boxes next to the Elections you are available to work.

    1. March 14, 2023
    2. May 16, 2023
    3. August 29, 2023
    4. November 7, 2023
29. Mandatory training sessions for the 2022 Elections will be conducted at 1808 N. 3rd St. Coeur d’Alene at the Elections Department. Based on need and availability, we would contact you to set up a training time. Thank you!
31. How did you find out about becoming a Poll Worker?*
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field