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?: *
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?: *
If yes, in what capacity?:
Please list any languages you speak other than English: