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2. Name*
3. Email Address *
5. Phone Number (Not Public Record) *
6. Address
8. City
9. State
10. Zip Code
12. I am willing to serve as a Precinct Official.*

    1. Yes
    2. No

    *Please note that not as many precinct(s) or officials will need to be utilized for the 2025 Municipal (City) Elections as will be needed for the 2026 Mid-Term Primary Election(s) and General Election.  

14. I am willing to serve during the 2025 Municipal Election (if needed) on November 4, 2025.

    1. Yes
    2. No
16. If my precinct is open for the Municipal Election, I could attend an in-person training on October 8th or 9th, 2025 at 10:00AM

    1. Yes
    2. No

    The training(s) will be held at the Senior Resource Center Banquet Room. 

18. I am willing to serve as Precinct Official during the 2026 Primary and General Elections.

    1. Yes
    2. No

    Primary Election - March 3, 2026
    2nd Primary (if needed) May 12, 2026
    General Election November 3, 2026

20. Comments for the Board of Elections
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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