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.

Edit Form

Political Party* Republican Democratic

First Name*

Last Name*

Date of Birth*

Gender*

Male

Female

Home Address*

City/Village*

State* Option 1 Option 2 Option 3

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* Option 1 Option 2 Option 3

Zip Code*

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