Election Inspector Interest Form
Monroe County Board of Elections
Full Name (required)
*
First Name
Middle Initial
Last Name
Suffix (if app)
Date of Birth
*
-
Month
-
Day
Year
Date
Preferred Contact Number (required)
*
Format: (000) 000-0000.
E-mail (required)
*
example@example.com
Resident Address (required)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where did you find out about being an Election Inspector? Choose all that apply:
*
Email
Job Fair
Polling Site
Postcard
Student Inspector (LEAP)
Social Media
Verification Letter
Website
Word of Mouth
Other
Submit
Should be Empty: