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Election Judge Application

2. Eligibility (Minnesota Statute 240B.19)

   Election judges must be:<br> 1) able to read, write and speak in English<br> 2) appointed by the appointed authority (county, city, township or school board)<br> 3) eligible voter (U.S. Citizen, 18 years of age or older; Minnesota resident for at least 20 days; maintain residence at an address listed)<br> 4) trained and currently certified as an election judge

   Election judges must be:
   1) able to read, write and speak in English
   2) appointed by the appointed authority (county, city, township or school board)
   3) eligible voter (U.S. Citizen, 18 years of age or older; Minnesota resident for at least 20 days; maintain residence at an address listed)
   4) trained and currently certified as an election judge

4. First Name

5. Last Name

7. Street Address

8. City

9. Zip Code

11. Daytime Phone Number

12. Evening Phone Number

14. Email

15. Your Home Precinct

    1. Precinct 1 - Long Lake Fire Department
    2. Precinct 2 - Good Shepherd Church
    3. Precinct 3A - Calvary Memorial Church
    4. Precinct 4A - Orono Council Chambers

17. Where to Vote

    Where to Vote Page

    If you need assistance locating your polling place, visit our Where to Vote page.

19. I will work as an election judge for

    1. Presidential Primary Election - March 3, 2020
    2. Primary Election - August 11, 2020
    3. General Election - November 3, 2020
    4. All Election Dates

20. Specialized Positions

    1. Head Judge (Election Judge Experience Preferred)
    2. Absentee Ballot Board
    3. AB Ballot Clerk

    Note: Availability to Work On-Call, As-Needed; During City Hall Office Hours Preferred.

22. Preferred Shift on Election Day

    1. 6 a.m. - Close
    2. 6 a.m. - 2 p.m.
    3. 2 p.m. - Close
    4. I will work any shift

    Please choose the shift that work the best for you.

23. Paid Position Avaliability

    1. Mid January - Early March; 2 to 4 judges
    2. Mid June - Mid August; 2 to 4 judges
    3. Early September - Mid November; 4 to 6 judges

25. Additional Availiability Information

    1. I’m not sure I’ll be able to work. Call me if you are short on judges.

27. Party Affiliation

    Minnesota Law defines “Member of a Major Political Party” as a person who: - Supports the general principles of a political party as stated in that party’s constitution - Voted for a majority of that party’s candidates in the last General Election - Intends to vote for a majority of that party’s candidates in the next General Election.

    Minnesota Law defines “Member of a Major Political Party” as a person who: - Supports the general principles of a political party as stated in that party’s constitution - Voted for a majority of that party’s candidates in the last General Election - Intends to vote for a majority of that party’s candidates in the next General Election.

29. Please indicate your political party affiliation.

    1. Democratic - Farmer - Labor Party (DFL)
    2. Republican Party
    3. Grassroots - Legalize Cannabis Party
    4. Legal Marijuana Now Party
    5. Other

    Individuals applying to be election judges need to declare their party affiliation, if they are affiliated with a major party. State Law requires that no more than half of the judges in a precinct may be from the same party; and judges from two different major political parties are required to perform certain election duties.

31. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
33. Electronic Signature

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field