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Apply Online To Be An Election Night or Central Count Worker For The 2023 General Election

  1. Online Election Night or Central Count Worker Application For The 2023 General Election
  2. Please note any question with a red * requires an answer. You will find that almost every question will require an answer. You will not be able to submit this form until all fields with the red * are completed.
  3. Contact Information
  4. Please use your legal name
  5. Please use your legal name
  6. Please provide the street address where you legally reside
  7. What Is The Best Way To Contact You?*
  8. What Is The Best Time To Contact You At That Phone Number?
  9. Election Night/Central Count Worker Qualifying Information
  10. Are You An Adult or Student?*
  11. Are You A US Citizen?*
  12. Do You Live In Porter County*
  13. Are You Registered To Vote?*
  14. Are you the treasurer or chairman of the committee for a candidate on the ballot?*
  15. Are a you a candidate on the ballot, or a relative by birth, marriage or adoption of a candidate on the ballot?*
  16. What Is Your Political Party Affiliation?*
  17. Poll Worker Experience
  18. Which Position Are You Interested In Working?*
  19. Have You Served As An Election Night Or Central Count Worker Before?*
  20. Disclosures
  21. This online form is ONLY an application to become an Election Night or Central Count Poll Worker. Your approval to work is not guaranteed until you receive a confirmation from the Elections & Registration Office*
  22. You are almost done! Please click on "Submit" below and you will be directed to a Form Submission Confirmation Page. If you are not directed to the Form Submission Confirmation Page, then you have probably missed providing required information on this form. Please scroll up to see any highlighted fields where an answer is required, then click on "Submit" again.
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  24. This field is not part of the form submission.