Poll Worker/ Early Voting Working

                      Application Information as Registered


Applicant Information

Full Name:      
 *Last                M.I.             *First
 Physical Address:  
                              *Street Address
 Mailing Address:          
              *City                                    *State
          *Zip Code
 Phone:          E-mail:  
 SSN (Last 4 Digits)
For Payment Purposes

   Political Affiliation: 

Are you a Registered Voter of  Cibola County Yes   No
 Poll Worker Position Applying for?

Are you interested in working as an Election Day Poll Worker only?
Yes  No
Have you ever worked as a Poll Worker?

Yes  No  
Are you interested in working as an Early Voting Poll Worker for the 11 days? (Only for Old County Complex
Yes  No     If yes, when?
   Notice to Applicant 
Applicants must attend mandatory Poll Worker Training to work on Election Day or Early Voting. If you are unable to make any of the training classes scheduled, you may not be able to work at the Polls. Please be advised, Poll Officals are paid in 30 days. By clicking on the "Submit" button, you aggree to have read, understood, and accepted the Notice to Applicant.