Apply to work Primary or Election

(* Denotes Required Fields)

Poll Work Information

First Name: *

Last Name: *

Email address: *

Phone number: *

Address: *

City: *

State: *

Zip Code: *

With which Political Party are you registered?: *

Unaffiliated Democrat Republican We the People I am under 18 and not yet registered

What is your current Voting Precinct: *

You can lookup your voting precinct here: (copy and paste into a browser) https://gis1.meridenct.gov/portal/apps/sites/#/meridengis/pages/election-map

Have you ever worked at an election polling location?: *

No Yes

If yes, in what capacity?:

Please list any languages you speak other than English: