Poll Worker Application Form

Thank you for your interest in becoming a St Johns County poll worker. To get started, please complete the following application and then click CONTINUE.

If you have any trouble with this form, please call our tech support department at (904) 823-2238 or (888) 960-2959 for assistance.

Thank you.

First Name:
Middle:
Last Name:
Your Party Affiliation

Your Party Affiliation Republican Democrat Nonpartisan
Home Phone: Home Phone: - ### - ### ####
Cell Phone: Cell Phone: - ### - ### ####
Date of Birth: Date of Birth: / MM / DD YYYY
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email

Confirm Email Address
Previous Pollworker:

Previous Pollworker: Yes No
Experiences:

Experiences: Computer Skills Speak another Language Fluent with Sign Language
What Language?
By checking this box you agree that YOU are:

By checking this box you agree that YOU are: A US citizen registered to vote in St. Johns County; able to speak, read, and write English; able to provide your own transportation; able to lift at least 20 pounds; able to work a 14-hour day starting at 5:45 a.m
I hereby attest that:

I hereby attest that: I will attend Poll Worker Training Classes before an election as required by Florida Law. I understand that Poll Workers are Non-Partisan when working.
Please check all that apply:

Please check all that apply: I retired from the Florida (State-administered) Retirement System within the last 12 months. I am currently an elected official or running for public office. (If yes, please explain in "Comments" section)
Comment(s):
Brief work history (include major duties performed):
By clicking on the Continue button below, I certify that the above answers are true, that I have read and understand the above requirements, that I have no physical limitations that would hinder my performance at the polls, and that I can read and write the English language as required by Florida State Statute.
Please Note: After completing this application, you will become part of our pool of prospective poll workers. Your name will remain active until you request that it be removed. Not all poll workers work every election. The number of poll workers for each election is determined by the size of the election and the expected turnout. Poll workers are chosen to work a specific election by their availability, willingness to travel, and the number of workers needed.