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College Judge of Election Application

Note:

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

Please complete the application and submit. Unless noted, all field are required.

Political Party Representing
Full Name
Date of Birth
Home Address
City/Village
State
Zip Code
Home Phone
Cell Phone
Which number is your primary number? Home Cell
If you are fluent in other languages please list them (optional)
Have you taken three or more years of Spanish? Yes No
Would you like to work as an Early Voting judge? Yes No
College or University Information
Name of College or University attending
College/University Address
Box # (if applicable)
City/Village
State
Zip Code
School Email Address
Please provide your Campus Housing Address below (if applicable)

If selected to work on Election Day, from where will you be commuting to the Poll Location? School Home
Please provide the name of the individual you will be commuting with below (if applicable)

What is your reason for applying to be a College Judge of Election?

College or University Information