Cassia County Election Worker Application

*First Name

*Last Name

*Phone

*Address

*City

*State/Province

*Postal Code

*Phone Number

*Email

If you are not willing to work all day, what times would you be willing to work on election day?

If you are not willing to work at any location, what locations are you willing or unwilling to work at?

Please feel free to ask any questions or provide comments in the space provided below, and then submit the application.

*Are you a High School Student?

Yes

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