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. Se requiere JavaScript Usted debe tener activado el JavaScript para poder usar este formulario. Por favor active JavaScript y vuelva a cargar la página. Si usted no puede activar el JavaScript, por favor comuníquese con webadmin@cityofmadison.com para proporcionar su información. Have you served as a City of Madison election official before? Sí No Contact Information Legal Name Please include first, middle, and last name. Primera Middle Última 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 - Seleccione -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? Sí No Alternate address Street Address Unit City State - Seleccione -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? Sí 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 Se requiere JavaScript Usted debe tener activado el JavaScript para poder usar este formulario. Por favor active JavaScript y vuelva a cargar la página. Si usted no puede activar el JavaScript, por favor comuníquese con webadmin@cityofmadison.com para proporcionar su información. ¿Esta página fue informativa para usted? Sí No ¿Por qué sí y por qué no? Leave this field blank Elections & Voting Voting Contraído Voter ID Contraído Obtain a Voter ID Unavailable Documentation Voter ID Exemptions Vote Absentee Contraído Ballot Drop-Off Sites In-Person Absentee Voting Hours and Locations Make Sure Your Absentee Counts! Votantes militares y extranjeros Voting Absentee in the Hospital Accessibility Create Your Voting Plan On Election Day Provisional Voting Student FAQ Voting Machines Where Do I Vote? Who are my Elected Officials? Voter Registration Contraído Confidential Voter Registration Eligibility to Vote Proof of Residence Election Officials Expandido Conscientious Inspector Award Duties and Qualifications Election Official Application Resources Student Officials Training Q&A Training Voter Education Ambassadors Candidates & Campaigns Contraído Campaign Finance Instructions Campaign Finance Reports Campaign Restrictions Candidate Filings Running for Local Office Wisconsin Elections Commission Wisconsin Ethics Commission Español Hmong Traditional Chinese