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Election Inspector Application

  1. Political Party Affiliation

    State Election Law requires you must select a political party. Independent is not a party.

  2. Have you ever been convicted of a felony or election crime?

  3. Include highest grade completed or degrees held.

  4. Include current or last place of employment and type of work performed.

  5. Include name of jurisdiction.

  6. Rate your computer experience:

  7. 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.

  8. 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.

  9. Leave This Blank:

  10. This field is not part of the form submission.