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2. Online Question About Becoming A Poll Worker
   Use this online form to submit a question about becoming a polling worker.
4. IMPORTANT: 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.
6. Your First Name*
7. Your Last Name*
9. Email Address*
10. Home Phone #*
11. Cell Phone #*
13. How Should We Respond To Your Question?*

    1. At The Email Address Listed Above
    2. At The Home Phone Number Listed Above
    3. At The Cell Phone Number Listed Above
15. What Is The Best Time To Reach You At That Number?*

    1. Weekday Mornings
    2. Weekday Afternoons
    3. Weekday Evenings
17. What Is Your Question?*
    Please be as detailed as possible.
19. You are almost done! Please click on "Submit" or "Submit & Print" below and you will be directed to a Question Submission Confirmation Page. If you are not directed to the Question 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" Or "Submit & Print" again.
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

* indicates a required field