Pollworker Application

IMPORTANT: You must enter the requested information in all the fields below.  You should receive an email confirmation after submitting this application.  Should you not receive an email confirmation, please contact our office during business hours Monday through Friday from 7:30 a.m. - 4:30 p.m. at (562) 570-6101.


Full Name (required)

Residence Address (required)

City (required)

State (required)

ZIP Code (required)

Contact Phone Number
Primary

Contact Phone Number 
Secondary

Email (required)

Date of Birth:    Month Day

*Please select each language you speak fluently other than English:

  Spanish   Chinese
  Tagalog/Filipino   Khmer
  Korean   Vietnamese
  Japanese   Thai
   
 

 I am a registered voter in  County.

 
   

 WHAT DO POLLWORKERS DO?     POLLWORKER PAY


CLERKS
receive up to $125.00 stipend.
-This includes training class bonus-

  • Arrive at polling place at 6:00 a.m. to set up   
 
  • Assist voters with signing in
  ASSISTANT INSPECTORS receive up to $150.00 stipend.
-This includes training class bonus-
  • Issue Ballots
 
  • Close the polls
  INSPECTORS receive up to $175.00 stipend.
-This includes training class bonus-
  • Account for ballots & pack up supplies
 


COMMENT / QUESTION?

 

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