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2. 
4. Election Inspector Application
6. First Name
8. Last Name
10. Address
12. City, State, Zip
14. Phone Number
16. E-mail address
18. Are you a US Citizen?*

    1. Yes
    2. No
    3. Prefer not to answer

    Answering "yes" or "prefer not to answer" means you may only be assigned to the position of Greeter.

20. Have you ever been convicted of a felony?*

    1. Yes
    2. No
    3. Prefer not to answer

    Answering "yes" or "prefer not to answer" means you may only be assigned to the position of Greeter.

22. Are you a high school student?*

    1. Yes
    2. No
24. What area of work are you interested in training?*

    1. Voter Check-in & Registration
    2. Absentee Processing
    3. Both
26. Do you need any special accommodations? Please Specify?

    If yes, we will contact you to arrange for suitable accommodations.

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field