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Champaign County Clerk
Aaron Ammons
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Election Judge Sign Up Form
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Full Name:
Street Address:
City:
Zip Code:
Phone Number (XXX-XXX-XXXX)
Email Address:
Party Affiliation
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Yes, I will work as an Election Judge for the Consolidated General election
Yes, I am willing to work in a different precinct, if needed
Yes, I am willing to pick up the election supplies before the election
Yes, I am willing to drive/be a passenger to the election supply building on election night to return supplies
Yes, I am willing to bring my cell phone for use in the precinct
My Cell Number Is
Yes, I am willing to serve as a Nursing Home Judge prior to the election
Yes, I am a Champaign County Employee
No, I cannot work the April 2, 2019 election, keep me in mind for future elections
No, I am resigning as an Election Judge for all future elections
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