Poll Worker Application

Thank you for your interest in being a poll worker for Clark County. Poll workers are selected by the party chairpersons of the respective political party. We will forward your request to the appropriate party for their consideration.

(If you are not currently registered to vote, please visit www.indianavoters.com to do so before applying for this position.)

* Denotes a required field
NAME
Please select a prefix.
Please provide a first name
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Please provide a last name.
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Please select your date of birth.
HOME ADDRESS
Please provide your street address.
Please provide your city.
Please provide a zip code.
CONTACT INFORMATION
Please provide a valid phone number.
Please provide a valid phone number.
Please provide a valid email address.
OTHER INFORMATION
Please make a selection.
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By checking the box below, I certify that I am a currently registered voter in Clark County, and my answers are correct to the best of my knowledge and belief:
You must select the check box in order to continue.
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For Additional Information Please Contact the Clark County Voter Registration Office

Ryan Lynch, Clark County Clerk
Clark County Judicial Center
501 E Court Avenue, Room 139
Jeffersonville, IN 47130
Phone 812.285.6329
Fax 812.280.5652

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