Form Center

2. Duties

   New poll workers will serve as Clerks or Judges. The duties for these positions include checking in voters and issuing the proper ballots. The positions may interchange throughout the day. Poll workers will help set up and take down the voting booths and other equipment at the polling place. Legible handwriting, good eyesight, and good hearing are needed.

4. Qualifications

   -Must be a registered voter in Lancaster County

   -The ability to read and write English

   -Must not be a candidate (except for convention delegates)

   -Must complete election worker training.

5. Hours

   Hours of work are 7 am to shortly after 8 pm on Election Days. Polls are open from 8 am to 8 pm.

6. Pay

   Pay for poll workers is minimum wage, which will be $12/hour in 2024.

8. First Name*
9. Last Name*
10. Middle Initial
12. Preferred First Name/Nickname
14. Address*
16. City*
17. ZIP*
19. Phone Number*
20. Phone Type*

    1. Cell
    2. Home
22. Alternate Phone Number
23. Phone Type

    1. Cell
    2. Home
25. Email Address
27. Emergency Contact*
28. Relationship*
30. Emergency Contact Phone Number*
31. Emergency Contact Alt Phone Number
33. If applicable, who referred you?
34. Reference Phone Number
36. How far within Lancaster County are you willing to travel from your home to a polling place on Election Day?*
    -- Select One --Less than 5 miles5-10 milesAnywhere within LincolnAnywhere in Lancaster County
38. Are you a registered voter in Lancaster County?*

    1. Yes
    2. No
39. If asked to serve, are you able to read and write English?*

    1. Yes
    2. No
40. If asked to serve, do you have the ability to sit for extended lengths of time while working 13 hours or more on Election Day?*

    1. Yes
    2. No
42. Describe any special accommodations you may need
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field