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Election Judge Application

  1. Election Judge Application

  2. All communication between City staff and election judges will be handled by email.

  3. Party Affiliation*

  4. Other Information

  5. Are you able to work in any precinct?*

  6. Do you have the physical capacity to work up to a 15-hour day?*

  7. What hours are you available?*

    Preference is given to judges that work full days.

  8. Which election dates are you available to work*

  9. I am bilingual*

  10. Skills/Experience/General Information*

    Check all that apply to you

  11. Veteran's Status

  12. Have you received an Honorable Discharge or Separation after serving more than 180 consecutive days in the military services for purposes other than training?*

  13. Electronic Signature Agreement*

    Please read the following carefully and submit this application if you agree to the following.


    To ensure fair and honest election results, if selected to serve as an election judge, I will adhere to the following:


    » I will arrive at my assigned polling place at the assigned time and remain until my assigned time or excused by the Head Judge.
    » I agree to be courteous, respectful, and to assist all voters regardless of national origin, physical challenge, or efficiency in the English language.
    » I agree to read and study the Polling Place Training Manual and any additional information. I will attend the Election Judge Training so that I am prepared to fulfill my assigned responsibilities to conduct the election according to federal, state, and local election laws and policies.
    » I understand that we are responsible for the security of election equipment and supplies and I will handle and monitor all such equipment and supplies exactly as instructed.
    » I agree to complete all documentation required by federal, state, and local election laws for my assigned position’s responsibilities as accurately and completely as possible.
    » I agree to report immediately to the Head Judge any malfunction or possible tampering of voting equipment, unusual, or suspicious behavior occurring in the polling room or any other event or occurrence that may threaten the accurate gathering or sanctity of the vote.
    » I will refrain from making personal and political opinion comments while serving as an election judge.
    » I certify that all information I have provided on this application is correct and that I have not omitted any information. I understand that giving false information or omitting requested data may disqualify me from further consideration as an election judge or result in dismissal, if discovered at a later date.
    » I authorize the City of Hopkins to verify the information I have provided in this application.

  14. Tennessen Warning*

    The data on this form is necessary to determine your eligibility as an election judge. Some requested data is private. Private data is available to you and City staff who need this information to perform their duties but is not available to the public. You may choose not to provide some or all private data, but it may limit your ability to participate as an election judge. Checking the box above will serve as your electronic signature.

  15. Affirmative Action

    The City of Hopkins is an Affirmative Action Employer. It is our policy to provide equal employment opportunities to all. The City of Hopkins does not discriminate on the basis of race, color, creed, religion, national origin, sex, sexual orientation, disability, age, marital status, status with regard to public assistance, or membership or activity in a local commission. Individuals are evaluated and selected on the basis of merit.

  16. Leave This Blank:

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