Full Name I am at least 16 years old and a United States Citizen: * yes no Street * Town * State * Zip Code * Email Address * Phone Number Are you available to to work Election Day from 5:15 am to 8:30 pm? yes no Are you available to attend training sessions prior to Election Day? yes no Are you available to work during early voting periods (if applicable)? yes no By hitting submit you confirm that the information provided is accurate and complete to the best of your knowledge. I understand that submitting this sign-up form does not guarantee selection as a poll worker. Thank you for your interest in serving as a poll worker in Connecticut. Your dedication to our democratic process is appreciated. Leave this field blank
