Required fields are marked with a red asterisk (*).

Online Poll Worker Application/Questionnaire

Upcoming Elections

Presidential Preference - March 17, 2020† (Online training begins in February. In person training is projected for the week of March 2nd.)
Primary - August 25, 2020† (Online training begins in July. In person training is projected for the week of August 10th.)
General - November 3, 2020 (Online training begins in October. In person training is projected for the week of October 19th.)
†Election dates subject to change through proclamation by Governor or Legislative action.

Please indicate your availability:*





Select your party:

Contact Information:

First Name* 
Last Name* 
Phone
Cell Phone
Best time to call?
Email Address* 
Residential Address*
City
Zip Code
Mailing Address (if different from residential)

Have you previously worked an election outside of Yavapai County?

If yes...
Where?
When?

What Position(s) do you have experience in?







Are you interested in serving as an Inspector?

Are you interested in serving as an Election Day Technician?

Are you interested in serving as a Troubleshooter?

Are you willing to serve as an Alternate?

(unpaid position, unless you are called to work)

Are you able to access training information online?*

Election Day is a long day, starting at 5:30 a.m. and ending after all work is complete, typically 9:00 p.m. Poll workers cannot leave their Vote Center until the election is closed that night.

Are you willing and able to work 15+ hours on Election Day?

How far are you willing to travel to your assignment on Election Day?

Have you ever served in any capacity as a Spanish language interpreter?

If yes, when and where?

Do you have any work limitations?

If Yes, what?

Please rate your computer skills:


Technology Questionnaire

The following information will help us determine your abilities as it relates to election technology. Please be honest in your answers. Being unfamiliar with technology does not disqualify you for an election worker position, as training is provided for all positions.

Select the answer that best matches your experience or usage.

1. What do you use a computer for most often?

(Check all that apply.)





If answered "Other" above, please explain:

2. When you purchase a new piece of technology (ex. computer, cell phone, TV, wireless router, etc.), do you prefer to do the initial set-up yourself or have someone else do it for you?

3. Have you ever changed the ink/toner in a printer?

4. Have you ever corrected a paper jam in a printer?

5. When using your email, can you download and save an attachment?

6.When using your email, can you attach a file to outgoing mail?

7. Are you comfortable using a touchscreen or kiosk, such as an ATM or the self-checkout at a store?

8. Have you ever called tech support for a personal device (computer, phone, internet, etc.) and had them successfully talk you through troubleshooting an issue?

9. Are you able to use a device that has a small display screen or small keyboard keys (ex. cellphone, calculator, etc.)?

10. How comfortable are you with using a tablet or smartphone?



11. How comfortable are you when adapting to new technology?



12. Are you interested in the opportunity to learn how to use new election technology?