Election Inspector (Poll Worker) Application Form

Profile Information

Full Name *

Residential Address *

Home Phone Number *

Cell Phone Number *

Email *

YEAR of birth *

Qualifications

Are you qualified to vote? (U.S. Citizen, resident of City of Fond du Lac, at least 18 years of age, and not otherwise disqualified from voting): * Yes
No

Have you ever been convicted of a felony? * No
Yes

Application Details

Which election(s) are you available to work? (Select all that apply): * August 13, 2024
November 5, 2024

Do you want to volunteer? (You will not receive monetary compensation for working with us if you mark "Yes") * Yes
No

Which position(s) are you interested in? (Check all that apply) * Regular Election Inspector
Alternate Election Inspector
Special Voting Deputy

Which position are you interested in serving? *

Are you able to read and write fluently in the English language? * Yes
No

Language(s) spoken other than English:

How comfortable are you using technology (e.g. Microsoft applications, internet, email, etc.): *

Availability

What are the hours you are generally available? Please note: Polls are open from 6:00 AM - 8:00 PM. Closing time may vary based on final reconciliation. (Select all that apply): * AM (6:00 AM - 1:30 PM)
PM (1:30PM - Close)
Full (6:00 AM - Close)

By clicking submit, you certify you are a U.S. Citizen, at least 18 years of age, and a resident of Fond du Lac County.

* - denotes required field

City of Ripon - Election Inspector (Poll Worker) Application Form