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Poll Worker Interest Form

  1. Contact Information

  2. 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.
    - Scio & Lodi Townships have met their recruitment goals and are not in need of new Poll Workers at this time.

  3. 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.

  4. 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.

  5. Leave This Blank:

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