Online Election Judge Interest Form


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Tennessen Warning

Information requested that is defined by state statute as public may be released on request. Private data containing your permanent address/home telephone number will be used to contact you. You are not legally required to provide the information. Failure to provide may result in a delay in notifying you. This information is available only to the person the information is about, and anyone authorized by you or law to see it.

Contact the City Clerk:

Mailing Address:

5200 85th Ave N

Brooklyn Park, MN 55443

Phone: 763-493-8180

E-mail City Clerk

Online Election Judge Interest Form

If you meet the criteria to become an election judge, please complete this form and submit to the city clerk via email.

*Due to major political party balance requirements (Minnesota State Statute 204B.19,Subd.5), election judges must represent one of the Major political parties. For Election Day staffing purposes, please state which major political party you are willing to represent.

* First Name

* Last Name

* Address

* City

State

* Zip Code

* Day Phone Number

* Evening Phone Number

Email Address

* Political Party
	Democratic Farmer Labor Independence Republican

Polling Place Work Hours
	Full Day 6:00 AM - 2:00 PM 2:00 PM - CLOSE

Polling Place Work Location
	Any Precinct Nearby Home Own Precinct

Election Preference
	Primary, September 9, 2008 General, November 4, 2008

* Required Fields

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