College Election Judge Application

This form is for College Student Election Judge applicants only.

Political Party*

Name of College or University attending*

First Name*

Middle Initial

Last Name*

Date of Birth*

Gender*

Male

Female

Phone*

Email*

Other Languages

Home Address

Address*

City*

State*

Zip Code*

Address Line 1*

Address Line 2 (CPO, Unit #, Apt #)

City*

Zip Code*

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