Online Election Judge Application

If you have served as an election judge in the last six election cycles, you do not need to reapply.

Are you registered to vote in Maryland?

Yes

Title

First

Middle

Last

Suffix

Degree

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

County of Residence

Party Affiliation

Is your mailing address different from the address given above?

Yes

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Daytime Phone

Evening Phone

Cell Phone

Email Address

Additional Email Address

Date of Birth

Are you a county or state employee?

Yes

Are you able to speak, read, or write English?

Yes

Are you bilingual?

Yes

If yes, what languages?

Do you have a drivers license?

Yes

Do you have a car?

Yes

Are you a high school or college student?

Yes

Computer Experience

High

Medium

Low

Signature

By submitting this form, I certify that the information contained in this form is correct to the best of my knowledge.

Date

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