Election Official Application Thank you for your interest in serving your community as an Election Official!This application is confidential and will not be shared outside the City Clerk’s office.The current hourly pay rate is $15.87. JavaScript Required You must have JavaScript enabled to use this form. Please enable JavaScript and reload the page. If you cannot enable JavaScript, please contact webadmin@cityofmadison.com to provide your information. Have you served as a City of Madison election official before? Yes No Contact Information Legal Name Please include first, middle, and last name. First Middle Last Preferred Name/Nickname Only if different from legal name. Current Address You must live in Dane County to work at the polls in the City of Madison. Street Address Unit City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Do you have a different mailing address? Yes No Alternate address Street Address Unit City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Phone Number Example: 608-123-4567 Alternate Phone Number Example: 608-123-4567 Email Are you a US Citizen Answering “No” or “Prefer not to answer” means you may only be assigned the position of Greeter. Yes No Prefer not to answer Have you ever been convicted of a felony? Answering “Yes” or “Prefer not to answer” means you may only be assigned the position of Greeter. Yes No Prefer not to answer Are you a high school student? Yes No Which high school do you attend? East High School Edgewood High School La Follette High School Memorial High School Shabazz City High School West High School Other (Specify) Enter your school Working at the Polls Do you need any special accommodations? Please specify. If yes, we will contact you to arrange for suitable accommodation. Are you fluent in a language other than English? Spanish Hmong Other (Specify) Enter language Leave this field blank JavaScript Required You must have JavaScript enabled to use this form. Please enable JavaScript and reload the page. If you cannot enable JavaScript, please contact webadmin@cityofmadison.com to provide your information. Was this page helpful to you? Yes No Why or why not? Leave this field blank Elections & Voting Voting Collapsed Voter ID Collapsed Obtain a Voter ID Unavailable Documentation Voter ID Exemptions Vote Absentee Collapsed Ballot Drop-Off Sites In-Person Absentee Voting Hours and Locations Make Sure Your Absentee Counts! Military & Overseas Voters Voting Absentee in the Hospital Accessibility Create Your Voting Plan On Election Day Student FAQ Voting Machines Where Do I Vote? Who are my Elected Officials? Voter Registration Collapsed Confidential Voter Registration Eligibility to Vote Proof of Residence Election Officials Expanded Conscientious Inspector Award Duties and Qualifications Election Official Application Resources Student Officials Training Q&A Training Voter Education Ambassadors Candidates & Campaigns Collapsed Campaign Finance Instructions Campaign Finance Reports Campaign Restrictions Candidate Filings Running for Local Office Wisconsin Elections Commission Wisconsin Ethics Commission Español Hmong Traditional Chinese
