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Apply Online To Be A STUDENT Poll Worker For The 2023 General Election

  1. STUDENT Online Poll Worker Application For The 2023 General Election

    This form is ONLY for STUDENTS who are ages 16 or 17 year old.

  2. Please note any question with a red * requires an answer. You will find that almost every question will require an answer. You will not be able to submit this form until all fields with the red * are completed.
  3. Contact Information
  4. Please use your legal name
  5. Please use your legal name
  6. Please provide the street address where you legally reside
  7. What Is The Best Way To Contact You?*
  8. What Is The Best Time To Contact You At That Phone Number?
  9. Poll Worker Qualifying Information
  10. Are You A US Citizen?*
  11. Do You Live In Porter County*
  12. Are you the treasurer or chairman of the committee for a candidate on the ballot?*
  13. Are a you a candidate on the ballot, or a relative by birth, marriage or adoption of a candidate on the ballot?*
  14. What Is Your Age?*
  15. If home schooled, please enter Home Schooled
  16. If you are age 16 or 17 and want to be a Poll Worker, you must have the approval of your parent or guardian; you must be a citizen of the United States and a resident of Porter County; and, you must satisfactorily complete the required training class. If school is in session for Election Day, you must have a cumulative grade point average of at least 3.0 on a 4.0 scale; you must have written approval by your principal or, if you are educated at home, the approval of the individual responsible for your education. You will be provided with the necessary forms to meet these requirements, and it is your responsibility to assure that the forms are completed and returned to us on a timely basis or you will not be allowed to work at the polls.*
  17. Poll Worker Experience
  18. Which Position Are You MOST Interested In Working?*
    1. Would You Accept Another Position?*
    2. In What Township Would You Prefer To Work In?*
    3. If There Are No Positions Open At Your Preferred Township, Would You Consider A Different Location?*
    4. Did You Serve As A Poll Worker In The 2022 Primary Election, 2022 General Election or the 2023 Primary Election?*
    5. In Which Did You Serve As A Poll Worker?*

      Check All That May Apply

      1. In What Position(s) Did You Work?*

        Check All That Apply

        1. Disclosures
        2. Until the Chairs of the two major political parties turn in their lists of Poll Worker appointments on October 18th, we will not know how many Poll Worker vacancies will need to be filled, and you may not be contacted until after October 18th if you are selected to be a Poll Worker.*
        3. This online form is ONLY an application to become a Poll Worker. Your approval to work at the polls is not guaranteed until you receive a confirmation from the Elections & Registration Office*
        4. If you are selected as a Poll Worker, you MUST attend a required training course.*
        5. You are almost done! Please click on "Submit" below and you will be directed to a Form Submission Confirmation Page. If you are not directed to the Form Submission Confirmation Page, then you have probably missed providing required information on this form. Please scroll up to see any highlighted fields where an answer is required, then click on "Submit" again.
        6. Leave This Blank:

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