****************************************************************************************** Application to Work as an Election Worker Name: ____________________________________________________________________________________ Address:__________________________________________________________________________________ City:______________________________________________________________________________________ State:__________________ Zip:_____________________ Home Telephone Number:_____________________________________________________________________ Work Telephone Number:_____________________________________________________________________ Cell Phone Number:__________________________________________________________________________ Do you have transportation? Yes________ No _________ Are you registered to vote? Yes_________ No _________ What party affiliation? _________________________Democrat _______________________Republican Are you Bilingual?_______ If yes, what language?__________________________________________________ If you have worked as an election worker in the past, please indicate where and when you worked.______________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________
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