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!

After you apply and your submission is accepted, you will be contacted by the County Clerk's Office with more details for scheduling an Election Judge training session.

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 *
I am a United States Citizen: *
I will attend & pass training before I work an Election: *
I am a: *
First name: *
Last name: *
Middle initial:
Birth date: *
Home phone (with area code):
Work phone (with area code):
Cell phone (with area code):
Home address (house number and street name): *
Mailing address if different from home address:
City, State, and ZIP Code: *
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. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy