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Last Name First Name M.I.
Date of Birth Day Phone Evening Phone
Home Address Apt. # City Zip
Mailing Address E-Mail Address

Are you qualified to vote? (check one) Yes No

(Qualifications: U.S. citizen, resident of Milwaukee County, at least 18 years of age, not currently serving a sentence including probation or parole for a felony conviction, and not otherwise disqualified from voting.)

Have you ever been convicted of a felony? Yes  No

(Note: State of WI Constitution, Article XIII, §3 (2) does not allow convicted felons to serve as Election Inspectors.)

Have you ever been an Election Worker? Yes No   If yes, please list when and where:
Do you fluently speak a language other than English?

No
Spanish Hmong Other

   
I would like to (check one): Volunteer Receive Payment  
(If you select payment and are hired, you must present your social security card to the Election Commission prior to training.)

Name of current employer
Employer's phone number Length of employment
List the duties of your position
Are you a current or former City of Milwaukee employee? Yes No  
If yes, include your Employee ID#

Hours available to work (check one):

 Full - 6:00 a.m. to site closes  $130.00
 PM -  1:30 p.m. to site closes    $67.25
 
       

Voting Site Assignment

I prefer to work at (check one)

 Any site in the City of Milwaukee  
 Any site in my aldermanic district  
 A specific location
  (Name or location of voting site)

 

 
How did you learn about the Election Inspector position?


Please type your full legal name as it appears on your social security card and today's date. By typing your name you attest that the above information is accurate and that any false information on this application will disqualify you.
Name Date

 

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Contact Us

City Hall
200 East Wells Street
Room 501
Milwaukee, WI 53202 

414-286-3491