Show/Hide
Rice Street between Rustic Place and Gramsie Road will be closed for resurfacing beginning Monday, August 19.

Election Judge Application

Print
Press Enter to show all options, press Tab go to next option

Thank you for your interest in serving as an election judge for the 2020 August Primary and General Elections. Please complete the form below

Please note that the City does it's best to assign judges to their preferred polling places but due to party balance requirements, that is not always possible.

Please correct the field(s) marked in red below:

1
Applicant Information:
 *
Applicant Information:
2
I am available to work the following elections:
 *
I am available to work the following elections:
3
I would like to work the following hours:
I would like to work the following hours:
Primary Election - August 14th General Election - November 6th
All day
6:00 a.m. - 2:30 p.m.
2:00 p.m. to close (approximately 9:00 p.m.)
4

My preferences are to work at one of the following precincts:

My preferences are to work at one of the following precincts:
1st Choice 2nd Choice 3rd Choice
1 - Emmet Williams School, 955 W County Rd D
2 - Shepherd of the Hills Church, 3920 Victoria St N
3 - Shoreview City Hall, 4600 Victoria St N
4 - Shoreview Community Center, 4580 Victoria St N
5 - Incarnation Lutheran Church
6 - Lake Johanna Fire Department, 5545 Lexington Ave
5
Please check all that apply:
 *
Please check all that apply:
6
Major Political Party Affiliation
 *
Major Political Party Affiliation
7
Do you have a relative who is applying to be an election judge at this time? If yes, please state the person's name, address, precinct applied for and relationship.
8
Are you a relative of any candidate for any of the offices on the ballot? If yes, please state the relationship.
9

ELECTION JUDGE

TENNESSEN WARNING

Pursuant to the Minnesota Government Data Practices Act, you have the right to know:

A. THE PURPOSE AND INTENDED USE OF THE INFORMATION COLLECTED

  1. The information we collect about you is classified by law as public (anyone can see the information), private (only you can see the information), or confidential (you cannot see the information).
  2. The purpose and intended use of this is to aid the City of Shoreview, as the election administrator, in determining your qualifications to serve as an election judge.

B. MAY YOU REFUSE OR ARE YOU LEGALLY REQUIRED TO SUPPLY THE INFORMATION WE ASK FOR?  WHAT ARE THE CONSEQUENCES OF YOUR SUPPLYING OR REFUSING TO SUPPLY THE INFORMATION?

  1. You have the right to refuse to supply the information requested and there is no legal requirement that you provide the information requested.
  2. If you supply the information requested, it will aid the City in deciding whether you meet the essential qualifications.
  3. If you refuse to supply the information requested, your application will not be complete and, as such, may disqualify you from being appointed as an election judge.

C. WHO HAS ACCESS TO THE PRIVATE AND CONFIDENTIAL INFORMATION WE COLLECT ABOUT YOU?

  1. Individuals in the City Manager’s Office of the City of Shoreview and individuals within the department seeking to fill the positions.
  2. Individuals or agencies for which a state statute, federal law or the State Commission of Administration authorizes a new use or sharing or the information after you have been   given this notice.

Unless otherwise authorized by state statute or federal law, government agencies with whom we share private or confidential information may also treat the information they receive as private or confidential.

 *
  1. To receive a copy of your submission, please fill out your email address below and submit.