2. Last Name
3. First Name
5. Address
6. City
7. Zip Code
9. E-mail Address
11. I have served as an Election Judge previously

    1. Yes
    2. No
13. I am available for the Primary Election

    1. Yes
    2. No
15. I am available for the General Election

    1. Yes
    2. No
17. Your political party affiliation (Non-Public information used to assign judges to precincts to make sure that there is political balance in our polling location)

    1. Democratic-Farmer-Labor (DFL)
    2. Republican
    3. Legal Marijuana Now Party
    4. Grassroots-Legalized Cannabis Party
    5. No Party Affiliation
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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