Bergen County Board of Elections
Department

HOME

Poll Worker Information

Voter Information

Challenger Information

Polling Locations





One Bergen County Plaza, Room 310
Hackensack, NJ 07601
201-336-6225
201-336-6230

Poll Worker Application

 
Fill out form, review it, then click button below to submit your information. You may want to print a screen shot of the form for your records.
First Name:*    
Last Name:*    
Home Phone:*    
Age (if under 18):  
Work/Day Phone:  
Cell Phone:  
Email Address  
Street Address:*    
City:*    
Zip:*    
Check if registered voter:   Your political party:
Foreign languages spoken:  
   
*Required