Election Inspector Application
City of Detroit
First / Last Name
*
Address
*
City
*
Zip
*
Phone No.
*
Phone
Email Address (Must Complete)
*
Political Party (MUST chose one for appointment)
*
Republican
Democratic
Libertarian
Green
Working Class
U.S. Tax Payer
Educational Background
*
Highschool
Bachelors
Masters
Doctorate
Vocational
Felony (Criminal or Election)
*
Yes
No
Employment Background (Include previous employer)
*
Election Inspector Experience (incl. jurisdiction)
Do you have your own transportation?
*
Yes
No
Are you able to work at any polling site?
*
Yes
No
Signature (type name to certify info is correct)
Date
mm/dd/yyyy
*
Send me a copy of my responses
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