Precinct Election Officer Application

You may submit the form below electronically or download a PDF copy of the form and fill it out manually. Click HERE to download the PDF.

Name
First Last
Last 4 Digits of S.S. Number
Date of Birth
Address
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different from above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Do you prefer we contact you by phone or email?
Phone
Are you registered to vote in Spencer County? (if no, please complete a voter registration card and turn it in with this form to our office)
Will you be at least 18 years old by Nov 4, 2014?
Political Party Affiliation
Have you changed parties on the past year?
Can you work at a polling location outside of your precinct?
Have you been an election officer in the past?
Do you have any physical limitations that would prevent you from helping during the setup or take down of the Election Day equipment?
PLEASE READ
All Precinct Election Officers are required to attend a 2.5 hour training session, held locally. Officers will be paid for this training session, along with payment received for Election Day. Election Officers are required to be at the polling locations ALL HOURS on Election Day. Polls open at 6:00 am and close at 6:00 pm. Election Officers are required to be there by 5:30 to set up machines and assure voting begins on time. Officers are required to stay until all machines are down and supplies are returned to the Spencer County Clerk’s Office. We do not guarantee any polling location, precinct or area; however we will make every effort to place you in the vacancy closest to your home.

	Wednesday 09/23 0% Clear Clear. Lows overnight in the mid 50s.
	Thursday 09/24 0% Clear Mainly sunny. High 86F. Winds ENE at 5 to 10 mph.
	Friday 09/25 60% Chance of Rain Considerable cloudiness. Occasional rain showers in the afternoon. High near 75F. Winds ENE at 10 to 15 mph. Chance of rain 60%.

Precinct Election Officer Application

PRECINCT ELECTION OFFICER APPLICATION

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