Election Judge Application

If you are interested in becoming an Election Judge submit an Election Judge Application 

Notes: 

• You must have transportation to the Poll Location to be assigned to work
• You must have your social security number to be paid.
• Your check will be mailed to your home address 6 to 8 weeks after the Election.

Note: *=required fields

Political Party*
(Select) Republican Democrat

First Name*
 

Last Name*

Date of Birth*

Gender*

Address*
 

City*
 

Zip*
 

 Home Phone*
   

 Cell Phone*
 

Email*

Would you be willing to work outside your precinct?*

Would you be willing to contact other judges, pickup and return election supplies?*

If you are fluent in other languages please list them(optional)

Position Desired*

* Please note that submission of application is not confirmation of assignment and that some judges may not be placed.