Elections Department
 

Miami-Dade County Elections Poll Worker Application


Contact Information*
Name
Date of Birth
Street Address
Apt #
City
State
Zip Code
Home Phone Number
Work Phone Number
Cellular Phone Number
Email Address


Do you have any computer experience?*
Yes (Please Specify) 
No


Do you speak any other languages fluently?*
Yes (Please Specify) 
No


Do you have transportation?*
Yes
No


Are you a Miami-Dade County employee?*
Yes (Name the Department) 
No


Would you accept assignment to a precinct other than your own?*
Yes
No


How did you hear about this Poll Worker opportunity?*
Elections Outreach Event
Friend or Family
School
Online/Website
Other 

 
By checking this box, I CERTIFY THAT: I am now registered as a voter in Miami-Dade County; I can read and write the English language; and my answers are correct, to the best of my knowledge and belief.

 
*All Fields Required


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