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Poll Worker Registration

  1. (For Finance Purposes)

  2. Enter your physical address. Please do not enter a PO Box.

  3. Are You a United States Citizen?*

  4. Do You Live in Monongalia County?*

  5. Are You a Registered Voter?*

  6. Have You Ever Served as a Poll Worker?*

  7. Are You Available to Work on Election Day, April 27, 2021?*

  8. Are You Available to Work During The Early Voting Period From April 14 - 24, 2021?*

  9. Are You Comfortable Using Desktop and Mobile Technology?*

  10. Do You Speak a Language Other than English?*

  11. Do You Have Transportation?*

  12. Are You Available to Attend the Mandatory Training?*

  13. Are You Available to Begin Work at 5:30 a.m. and Work 14+ Hours, if Necessary, on Election Day?*

  14. Leave This Blank:

  15. This field is not part of the form submission.