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Poll Worker Interest Form

  1. Contact Information

  2. Who referred you to this page (i.e. What organization? Another Poll Worker? What website?) Please let us know.

  3. Optional: Please declare your major or minor political party preference.

    Note: Michigan law requires that Poll Workers declare their political party affiliation in order to be appointed by the City or Township Election Commission. Poll Workers may indicate a major party or one of several recognized minor parties. "Independent" is not a recognized party affiliation for Poll Workers under Michigan law. If you choose not to respond to this question now, it's ok, however you will need to declare your party affiliation to the City or Township Clerk on your formal Poll Worker application.

  4. I am interested in serving as a Poll Worker in the following location:

    - Please select ONE first choice. You may provide additional choices in the text box below.

  5. A poll worker must be a registered voter in the State of Michigan. Exception: individuals age 16-17 not yet registered to vote but who will be qualified to register to vote when they meet the minimum age may serve as poll workers. A poll worker cannot be a challenger, candidate, member of a candidate's immediate family, or a member of the local Board of Canvassers. Anyone convicted of a felony or an election crime may not serve.

  6. Please note that if your requested location is not in need of poll workers your information may be passed along to another city or township where poll workers are needed.

  7. Leave This Blank:

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