Kansas City Election Judge Application
Apply to be an Election Judge with Kansas City, Jackson County, Missouri
Last Name *
First Name *
Middle Name
Date of Birth *
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Political Party *
Email Address *
Physical Address (Must reside in KC/Jackson County) *
Zip Code *
Phone Number (Cell, Home, Work) *
Last 4 Digits of Social Security Number *
Do you have a reliable method of transportation ? *
Are you willing to serve anywhere within KCMO? *
Are you currently employed by Jackson County or the city of Kansas City Missouri? Please check the appropriate box. *
Required
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This form was created inside of Kansas City Board of Election Commissioners.