New Election Judge Application Form
Apply to be an Election Judge in Rock Island County.
Election judges are the life-blood of the American democracy!

Election Judge training classes are scheduled for September 11, 12, and 13, 2018.

After you apply and your submission is accepted, you will be mailed a letter from the County Clerk's Office with more details.

Illinois law requires that Election Judges be assigned to represent either the Democratic or Republican Party. We recognize that there are many individuals who don’t align themselves with either party, however in order to fairly represent both parties in the Vote Centers, Election Judges must indicate the party they identify with the closest.

Email address *
I am a United States Citizen: *
I will attend & pass training before I work an Election: *
I am a: *
First name: *
Your answer
Last name: *
Your answer
Middle initial:
Your answer
Suffix:
Birth date: *
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YYYY
Home phone (with area code):
Your answer
Work phone (with area code):
Your answer
Cell phone (with area code):
Your answer
Home address (house number and street name): *
Your answer
Mailing address if different from home address:
Your answer
City, State, and ZIP Code: *
Your answer
Party (you most closely identify with): *
Terms & conditions: This website is made available to users by the Rock Island County Clerk's Office for the sole purpose of facilitating their participation as Election Judges. By using this website, users certify that the information provided is accurate and complete. Please make sure your information is up-to-date. *
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