Application to be an Election Judge

NOTE: Thanks to a great response in the past few weeks, if you submit an application below to become an Election Judge, you will be placed on a STANDBY LIST at this time. If there is a need for more judges, you will be contacted. We encourage you to complete the form if you would like to be placed on the standby list for the 2018 Elections.

I would like to become an Election Judge for the City of Bloomington Board of Election Commissioners. By submitting this application, I affirm that:

“***I am not subject to the registration requirement of the Sex Offender Registration Act (10 ILCS 5/13-4.)

***I understand that on Election Day I will be required to work from 5:15 a.m. until after the polls are closed and all is ready in my polling place to return results to the Election Commission office, and I may be asked to assist in returning results/equipment to the office, which I am willing to do. I am also willing to help set up the polls on the night before Election Day.

I realize I will represent a party in the polling place, and if voting in a partisan primary, I may ONLY vote this party ballot during my term as Election Judge.”

Name:
Address:
Birth Date:
Phone:
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Cell Phone:
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Daytime Phone, if different from above:
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E-mail:
Party, Democrat or Republican:
Signed, enter your initials:
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