Poll Worker Application

indicates required fields.

Name

Enter your name in the boxes below.

Date of birth
Are you a registered voter?
Yes No
County of voter registration?
You should only use this form to apply to be a poll worker in Boone county. If you are not located in Boone County, you can apply on the Missouri Secretary of State's website .

Please enter your phone number(s).

Home Phone Number

Mobile Phone Number

Please enter your email address.

Email Address

Re-Enter Email Address
Please make sure both emails match;

indicates required fields.

Please search for your address and select it when it appears. Suggestions will be made as you type.

Start by entering your house number and street name, example: 123 Main.

I'm having trouble searching for my address

Do you receive mail at the the same address where you live?

Yes No

Indicates required fields

Do you have prior experience working elections?

Yes No

If yes, please explain:

Are you interested in serving as a polling place supervisor?

Yes No

How comfortable are you using technology (e.g. iPads, computers, cell phones)?

Missouri law requires that poll workers designate a political party.

Republican Democrat Libertarian Independent

Where did you learn about the opportunity to be a poll worker?
If you were referred by a current poll worker, please provide their name.