Election Worker Application
Election Worker Application
Thank you for submitting your 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 Vote Center?
Yes
No
How far would you be willing to travel?
What is your political affiliation?
Democratic
Republican
Non-Partisan
Other
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:
Characters:
0
/2000)
Please make sure that you complete all fields that are preceded by an asterisk (*).
Clerks interested in working the next election will have their contact information shared with judges in their area to identify if they are needed. Keep in mind that if you are needed, you may not be contacted by a judge immediately, but much closer to the election date.
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