Avon Poll Worker Interest Form

You can be a poll worker in Connecticut if you:

• Are a U.S. citizen age 18 and up who is registered to vote in Connecticut or a U.S. citizen age 16 or 17 with residency in the town you are working in and permission to work from a parent or guardian (certain poll worker role restrictions apply);
• Are not a candidate for office (except a registrar of voters or municipal clerk, who is a candidate for the same office, performing their official duties);
• Are not an immediate family member of a candidate if transporting, preparing, repairing, or maintaining a voting machine;
• Are willing to attend mandatory training before each election;
• Have reliable transportation to and from training and polling place;
• Are comfortable working with a personal computer system.

Election Day shifts are typically a minimum of 15 hours. Some towns may offer the opportunity for a half shift. Early Voting shifts vary depending on the day of the week but will likely range from 9 to 13 hours.

Personal Information

First Name

Last Name

Date of Birth

Email Address

Primary Phone Number

Street Address 1

Street Address 2

City/Town

Political Party

What is your voting district?

Have you ever worked at the polls in Avon before?

Yes

If yes, when, where, and in what position were you a poll worker?

Please indicate what type(s) of duties you would be comfortable undertaking: (select all that apply)

Greeting electors

Line management

Distributing ballots, including issuing replacement ballots, as needed

Answering questions from electors about the voting process

Utilizing computer database

Running a polling location, including opening and closing responsibilities

Are you certified as a moderator in Connecticut?

Yes