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2. Today's Date
   Today's Date
4. Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number*
13. Email Address
17. Eligible Voter*

    Are you an eligible voter in the State of Wisconsin and at least 18 years old?

    1. No
    2. Yes
21. Party Affiliation

    Please check one

    1. Democrat

    1. Republican

    1. None

    1. Other
25. Currently Registered*

    Are you currently registered to vote in the City of South Milwaukee?

    1. No
    2. Yes
29. Poll Worker Experience*

    Do you have prior pollworker experience?

    1. No
    2. Yes
33. If yes, where?
    If you answered yes for having prior pollworker experience, please provide information on where you last served as a poll worker and how long ago?
35. Important Information
    Poll workers are paid temporary employees of the City of South Milwaukee. Poll workers commit to a two-year election cycle, and agree to be available for training sessions and up to 13-hour work days on election dates at a polling location. Appointment as a pollworker does not ensure that you will be asked to work every election.
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

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