Form Center

2. Contact Information
4. Full Name:*
5. Email:*
7. Address:*
8. City & Zip:*
10. Home Phone:
11. Cell Phone:
12. Work Phone:
14. Willing to travel outside of my city to serve as an election judge*

    1. Yes

    1. No
16. Party Affiliation (not applicable for high school student trainees)*

    1. Democratic-Farmer-Labor Party
    2. Republican Party of Minnesota
    3. I do not affiliate with any of the Parties
18. Check your city to send the information to your city clerk or check "County" if you are interested in assisting at the county prior to election day..*

    1. Andover
    2. Anoka
    3. Bethel
    4. Blaine
    5. Centerville
    6. Circle Pines
    7. Columbia Heights
    8. Columbus
    9. Coon Rapids
    10. East Bethel
    11. Fridley

    1. Ham Lake
    2. Hilltop
    3. Lexington
    4. Lino Lakes
    5. Linwood Township
    6. Nowthen
    7. Oak Grove
    8. Ramsey
    9. Spring Lake Park
    10. St. Francis
    11. County
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field