Election Judge Questionaire
Search this PDF in the browser, review county metadata, and fall back to the original file at any time.
Election Judge Questionaire
?
This HTML record is the primary public reading version of the county document. The original county PDF remains available only as the downloadable file of record.
Use this HTML companion as the primary accessible reading version. Use the original PDF when you need the printable form, signature lines, or exact page layout for submission.
ELECTION JUDGE QUESTIONNAIRE
(please print and sign)
NAME:
ADDRESS:
DATE OF BIRTH______________________________________________
PRECINCT WHERE YOU VOTE____________________________________
PHONE:(HOME) (OTHER)
PARTY PREFERENCE:
(Republican, Democrat, Libertarian, Independent)
Are you related to the County Clerk, Donna Neeley? Yes No
Are you a registered voter in Taney County? Yes No
Will you work at polling place other than your own? Yes No
Please designate maximum distance you will travel.
Are you willing to fill in as a supervisory judge? Yes No
PLEASE CHECK THE ELECTION DATES YOU WILL BE AVAILABLE TO WORK:
August 3, 2010
______ November 2, 2010
SIGNATURE:
Please return the completed form to: Donna Neeley, County Clerk
P.O. Box 156
Forsyth, MO 65653
Election Judge Questionaire
The original county PDF remains the downloadable record artifact and the printable source document.