Election Official Application

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 with any agencies outside of the City of Dodgeville Clerk's office.

*indicates required fields

Please include first, middle and last name.
Are You a US Citizen? *
Answering "No" or "Prefer not to answer" means you may only be assigned the position of Greeter.
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.
Have you been an Election Worker for the City of Dodgeville in the past? *
If yes, do you wish to remain on the election worker list for the 2024-2025 election cycle?
If no, please sign at the bottom and return this form so we can remove you from our list.
Are you a high school student who will be at least 16 by January 1, 2024?
If yes, we will contact you to arrange for suitable accommodation.
Are you affiliated or expect to be nominated by a major political party as a potential poll worker? *
You will be considered for the position regardless. This just provides us notice to watch for an appointment.
Which of the following job duties would you be most interested in helping with during an election? *
Please check all that apply. No position is guaranteed and you will be used where needed for each election.
Acknowledgement *
Date
  • Printer-friendly version