YES, I will work as an election judge for:

_____ Primary Election
_____ General Election

_____ All Day;
_____ Morning Only;
_____ Afternoon/Evening
Other Hours ________________________________

I consider my political party affiliation to be:

_____ Green Party
_____ Democratic-Farmer-Labor Party
_____ Independence Party
_____ Republican Party
_____ Other

Name ________________________________________
Address_______________________________________
_____________________________________________
Phone Number__________________________________

Return to:

Apple Valley Municipal Center
7100 West 147th Steet
Apple Valley, MN 55124