College 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.

 *= required fields

Political Party*
(Select) Democratic Republican

First Name*

Last Name*

Date of Birth*

Gender *

Home Address*

City/Village*

State*
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code*

Cell Phone*

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

College or University Information

Name of College or University attending*
  

College/University Address*


Box # (if applicable)
 

City/Village*

State*
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code*

Personal Email Address*

Please provide your Campus Housing Address below (if applicable)

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