2026 Election Judge Application

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Are you eligible to vote in the State of Minnesota?*

YesNo

Are you a candidate in the election?*

YesNo

Are you related to a candidate or another election judge?*

YesNo

If you answered yes to the question above, list their name and relationship to you

Party Affiliation*

Position Interest*

Election Judge $13/hrAssistant Head Judge $14/hrHead Judge $15/hr

I will require a certificate of service for my employer*

YesNo

I am volunteering to serve without pay*

YesNo

Availability - I am available to work on the following dates*

Primary Election Day - August 11, 2026 6:00 am to close (approx. 16 hours)General Election Day - November 3, 2026 6:00 am to close (approx. 16 hours)

If possible, I prefer to work in precinct

I certify that the information given in this application form and attachments are true and complete to the best of my knowledge. I authorize the City of Ham Lake to investigate all statements made in the application, as necessary to consider my application. I understand that giving false or misleading information in my application or interview(s) will disqualify me from consideration. I understand that if I am hired by the City of Ham Lake, I am subject to discharge if I provide false or misleading information or omit material information in connection with this application regardless of when it is discovered.

Tennessen Warning

Under the Minnesota Government Data Practices Act (Minn. Stat. § 13.43), your name, address, phone number, and email address are private data. You may choose not to provide some or all of this private data. Your contact information is needed to provide information to you such as precinct assignment, training schedules, cancellation information, etc. By completing this information, you are consenting to allow information to be shared with payroll staff and election staff in order to administer this activity.

Signature*

Date*

MonthDayYear