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State Election Law requires you must select a political party. Independent is not a party.
Include highest grade completed or degrees held.
Include current or last place of employment and type of work performed.
Include name of jurisdiction.
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.
This field is not part of the form submission.
* indicates a required field