Election Officers perform a variety of tasks. In order to serve, it is important that you understand the requirements.
Please acknowledge your understanding and agreement by checking each box.

Election Officers perform a variety of tasks. In order to serve, it is important that you understand the requirements. Please acknowledge your understanding and agreement by checking each box.

I am currently a registered voter, or eligible to be a registered voter in Virginia.

I do not hold elected office nor do I work for an elected official.

I agree to arrive at my assigned polling location at 4:45 a.m. on Election Day and remain until all election results have been tabulated and recorded, after 8 p.m.

I agree to be available for 3 days following any Election in which I serve.

I agree to attend all mandatory training.

I agree to serve and assist voters with non-partisan behavior.

I can lift at least 40 pounds in order to set up voting equipment.

I have basic computer skills that will allow me to process voters in an electronic database.

I am comfortable standing and sitting for long periods of time.

I enjoy serving the public, am able to work well under pressure, take direction from others and am not easily distracted.

I can take and give clear directions in English.

Tell us about yourself:

I have language skills other than English (check all that apply):

I have language skills other than English (check all that apply):

Spanish

Korean

American Sign Language

Other language:

I have language skills other than English (check all that apply):

 My contact information:

 *

My contact information:

First Name:	Last Name:
Residence Address:	Home Phone:
Work Phone: ext.	Cell Phone:
E-mail:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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