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Seasonal Worker Interest Form
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* Indicates required question
Full Legal Name:
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Email
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Position Interested In (select one)
*
Data Entry
Warehouse
Election Day Worker
Days Available (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours Available
Your answer
Party Affiliation
Democrat
Republican
Clear selection
Education
Your answer
If you are a current city or county employee, list the department and phone number
Your answer
Select one
I am ALREADY registered to vote in LUCAS COUNTY (If you have any name or address change, you MUST complete a new Voter Registration Form with your new information)
I MUST submit a completed VOTER REGISTRATION form
Clear selection
I understand that I must meet these criteria (check all as acknowledgement)
I am registered to vote in Lucas County
I have a working phone number
I have reliable transportation to be at work on time
I have the ability to type 40 word per minute
I have the ability to do data entry
I am able to follow directions and have attention to detail
I am able to lift 10 pounds repetitively
Submit
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