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Election Inspector Application

  1. Are you willing to work where needed?*
  2. Would you like to work a full or half day?*
  3. For a two-year term*, please mark your preference(s) below:*
    * Given the situation created by the pandemic, we would accept applicants who can only commit to election year 2020.
  4. Please indicate if you prefer payment as a Chief or Election Inspector or to volunteer your service*
  5. Have you ever been convicted of any felonies?*
  6. Are you a high school student 16 or 17 years of age?*
    If yes, we will reach out with additional information after you submit this application.
    I certify that I am a U.S. citizen, at least 18 years of age, and a resident of Brown County Wis. Stat. § 7.30(2)(a). I also certify that all of the answers to the questions in this application are true, and I agree that any misstatements or omissions of act will cause forfeiture on my part of rights to employment in the City services. (A copy of this Application shall be considered as valid as the original.)
  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. Additional Questions?
    Please contact our Clerk's Office at 920-448-3011.
  9. Leave This Blank:

  10. This field is not part of the form submission.