Section 1 of 1 in this document
Yes, I want to be an Election Judge!
Name
First Name
*
Last Name
*
Address
Street Address
*
City
*
State
*
Zip
*
Email
*
Phone Number
*
Party
*
Choose One
Republican
Democratic
Libertarian
I am a resident and registered voter within the City of Bloomington
Yes
No
Have you served as an Election Judge for the Bloomington Election Commission before?
Yes
No
Have you served as an Election Judge in another jurisdiction before?
Yes
No
Recaptcha Response
Be sure to verify that you are not a robot by using the Captcha tool at the below.
Having reCaptcha issues? Click here to reset the widget.
disregard this