I am a registered voter and resident of Allen County and would like to be placed on a list of potential pollworkers for Allen County Elections. (If you are not currently registered to vote, please click here to do so before applying for this position.) Please click here if you need more details about pollworker duties.

Name

First Name

Middle

Last Name

Date of Birth

Home Address

Street

City

Zip Code

Contact Information

Home Phone

Daytime Phone

Mobile Phone

Email Address

General Questions

For which position are you applying?

-- Please Select -- Inspector Clerk Judge Any

What is your political party affiliation?

-- Please Select -- Democratic Republican Other

Have you ever worked as a poll worker in Allen County before?

-- Please Select -- No Yes

Are you an employee of Allen County or the City of Fort Wayne?

-- Please Select -- No Yes

If yes to previous question, in which department do you work?

Are you willing to travel to a polling location outside your home district?

-- Please Select -- No Yes

Do you have transportation to travel to polling location?

-- Please Select -- No Yes

Are you willing to use your personal mobile phone on Election Day?

-- Please Select -- No Yes

Please enter the letters you see to the right

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