Skip to form

De Pere, WI

dpclerk@deperewi.gov

335 S. Broadway, De Pere, WI, 54115, US

920-339-4050

Section 1 of 3 in this document

Election Inspector Application

Full Name

First Name *

Initial *

Last Name *

Full Address

Street Address *

City *

State

Zip

Phone Number *

Have you ever worked as an election inspector for the City of De Pere?

Yes

Please indicate where you worked: *

Section 2 of 3 in this document

Please indicate the type of position you are interested in: (can select more than one)

Chief Inspector (oversee the polling place and poll workers - requires additional training)

Election Inspector (staff the polling place on Election Day)

Central Count Inspector (process absentee ballots at City Hall on Election Day)

Which shift are you most interested in? (can select more than one)

Full day shift (6:00 AM - Close)

Half day shift (either 6:00 AM - 1:30 PM or 1:00 PM - Close)

Alternate (called to fill in if others cannot work)

Please indicate if you prefer to serve as a volunteer or receive compensation:

Volunteer

Paid

Please note that the City of De Pere requires all employees to participate in the direct deposit of payroll funds. A member of the Clerk's office staff will contact you to obtain the necessary documentation to set up your direct deposit.

Certification of eligibility:

I certify that I am a U.S. citizen, at least 18 years of age, and a resident of Brown County, Wisconsin

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the City of De Pere and myself, or the entity I am authorized to represent. I acknowledge that I am authorized to complete this form. I understand that information about my user session may be stored.

disregard this