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2. Election Worker Eligibility
   You must be a United States Citizen or Legal U.S. Resident of at least 16 years old.
6. If you are under 18 years old:
   Fill out the Student Poll Worker Application
7. If you are a Merced County Employee:
   Fill out the Merced County Employee as Volunteer Poll Workers Program Application
11. Election Worker Compensation

    Election Day Stipend: $130. (Additional $100 Stipends for each Early Voting Day & Required Training)

12. Election Worker Positions
    Each location will have a certain number of required positions and will be filled as needed per election codes.
13. Today's Date*
15. First Name*
16. Last Name*
18. Date of Birth*
19. Cell Phone Number*
20. Home Phone Number
22. Email Address*

    This email will be used to send information regarding upcoming elections.

24. Address*
26. City*
27. State*
28. Zip*
30. I speak and read the following languages fluently:

    1. Spanish
    2. Hmong
    3. Punjabi
    4. Chinese
    5. Mien
    6. Other

    Select all languages that apply.
31. Are you a Merced County Employee?*

    1. Yes
    2. No

    If you marked yes to being a Full-Time Merced County Employee please complete the Merced County Employee as Poll Worker Application.

33. Location where you are willing to work:*

    1. Anywhere I am needed
    2. Gustine
    3. Hilmar
    4. Livingston
    5. Los Banos
    6. Merced
    7. Dos Palos
    8. Planada
    9. Snelling
    10. Atwater

    Select all locations that apply.
34. Availability for Election (This does not include Training Days):

    1. 11 Day availability (Election Day plus 10 Days before Election Day)
    2. 4 Day availability (Election Day plus 3 Days before Election Day)
    3. Election Day Only
36. Application Revision Date

    1/18/2022

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field