Thank you for your interest in serving your community as an Election Official!
This application is confidential and will not be shared with any agencies outside the City of Madison Clerk’s office.

* indicates required fields

Contact Information

Please include first, middle, and last name.
Only if different from legal name.
608-123-4567
608-123-4567
Answering “No” or “Prefer not to answer” means you may only be assigned the position of Greeter.
Answering “Yes” or “Prefer not to answer” means you may only be assigned the position of Greeter.

Working at the Polls

If yes, we will contact you to arrange for suitable accommodation.
We will place you based on staffing needs. In case this ward is already filled, please also select your preferred area(s) of the city.
We will assign you to work at every election in the current two-year cycle for which you are available.
If yes, we will contact you for a W4 Employee Withholding Allowance Certificate.