Election Inspector ApplicationCity of Detroit

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

Send me a copy of my responses

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