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. Yuav Tsum Muaj JavaScript Koj yuav tsum qhib siv JavaScript txhawm siv daim ntawv no. Thov qhib siv JavaScript thiab rub nplooj ntawv tawm dua. Yog tias koj tsis tuaj yeem qhib JavaScript tau, thov hu rau webadmin@cityofmadison.com txhawm muab koj cov ntaub ntawv. Have you served as a City of Madison election official before? Yog Tsis Yog Contact Information Legal Name Please include first, middle, and last name. Thawj Nplooj Ntawv Npe Nruab Nrab Nplooj Ntawv Tos Kawg 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 - Xaiv -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? Yog Tsis Yog Alternate address Street Address Unit City State - Xaiv -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? Yog Tsis Yog 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 Yuav Tsum Muaj JavaScript Koj yuav tsum qhib siv JavaScript txhawm siv daim ntawv no. Thov qhib siv JavaScript thiab rub nplooj ntawv tawm dua. Yog tias koj tsis tuaj yeem qhib JavaScript tau, thov hu rau webadmin@cityofmadison.com txhawm muab koj cov ntaub ntawv. Nplooj ntawv no puas pab tau koj? Yog Tsis Yog Vim li cas los sis vim li cas thiaj tsis? Leave this field blank Elections & Voting Voting Puas lawm Voter ID Puas lawm Obtain a Voter ID Unavailable Documentation Voter ID Exemptions Vote Absentee Puas lawm 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 Provisional Voting Student FAQ Voting Machines Where Do I Vote? Who are my Elected Officials? Voter Registration Puas lawm Confidential Voter Registration Eligibility to Vote Proof of Residence Election Officials Ntxiv lawm Conscientious Inspector Award Duties and Qualifications Election Official Application Resources Student Officials Training Q&A Training Voter Education Ambassadors Candidates & Campaigns Puas lawm Campaign Finance Instructions Campaign Finance Reports Campaign Restrictions Candidate Filings Running for Local Office Wisconsin Elections Commission Wisconsin Ethics Commission Español Hmong Traditional Chinese