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2. Eligibility (Minnesota Statute 240B.19)
   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
    5. Outside of Orono
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. Primary Election - August 9, 2022
    2. General Election - November 8, 2022
    3. Both Elections for 2022
21. PRIMARY ELECTION: Preferred shift (August 9, 2022)

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

    Please choose the shift that works best for you.

23. GENERAL ELECTION: Preferred shift (November 8, 2022)

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

    Please choose the shift that works best for you.

25. SPECIALIZED PAID POSITIONS

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

    Please select positions you are interested in. Note: Availability to Work On-Call, As-Needed; During City Hall Office Hours Preferred. Head Judges & Assistant Head Judges are required to work the entire shift.

27. ABSENTEE BALLOT CLERK OR BOARD AVAILABILITY

    1. PRIMARY ELECTION AB PERIOD: Mid June - Mid August
    2. GENERAL ELECTION AB PERIOD: Early September - Mid November
    3. BOTH EARLY VOTING PERIODS FOR 2022

    This is a paid position. The shift varies during the Absentee Ballot Period.  Please note the Absentee Ballot Clerks work hours vary between the hours of 8:00 a.m. to 4:30 p.m. at City Hall.  These positions work with City Staff through out the AB period.   In addition, Absentee Ballot Clerks have the opportunity to work the Saturday before Election days from 10:00 a.m. to 3:00 p.m. 

29. Additional Availiability Information

    1. I’m not sure I’ll be able to work. Call me if you are short on judges.
31. 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.
33. 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.

35. 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.
37. Electronic Signature
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

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