Training Paysheet - Election Division

First Name

Last Name

SSN (last 4 digits)

Address

City

State

Zip Code

Phone Number

Email

Date of Birth

TX Driver's License/ID No.

Worker Type

Type of Training Class

Election Date

* I swear or affirm that I personally attended the class selected above for the required time period.I understand that I will only be paid for attending one training class at my hourly rate($20 for Presiding Judges and $17 for Alternate Judges and clerks) and that payment will be made through A1 Personnel after I have signed up with them.