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Election Inspector Application

Please complete the following form to apply to be an Election Inspector.

(*) = required

Are you a United States citizen? (*):
(You must be a United States citizen to work as a Precinct Inspector.)
Political Party Affiliation (*):






(Must be a recognized party. Independent is NOT a party.)
Have you ever been convicted of a felony or election crime? (*):
Are you currently in High School? (*):
(highest grade completed or degrees held)
(include current or last place of employment and type of work performed)
(Include name of jurisdiction. Enter None if you have no experience)
Rate your computer experience (*):




(data lookup, database processing, creating PDFs, etc.)
Do you have transportation? (*):
Will you work for any polling place within the City? (*):
Do you have a preference to work in the Absentee Counting Board or a Precinct?:


 
If Other type your answer here
     
I certify that I am not a member or a known active advocate* of a political party other than the party identified above. I further certify that the foregoing statements are true to the best of my knowledge and belief.
 
A “known active advocate” of another political party is defined to mean a person who 1) is a delegate to the convention or an officer of another party 2) is affiliated with another party through an elected or appointed government position or 3) has made documented public statements specifically supporting by name another political party or its candidates in the same calendar year as the election at which the person will serve as an election inspector. “Documented public statements” means statements reported by the news media or written statements with a clear and unambiguous attribution to the applicant.
 
ANY FALSE STATEMENTS ON THIS APPLICATION WILL DISQUALIFY THE APPLICANT
 
(Type your name. By typing your name you are signing your application)
Security check (*):