2. Thank you for showing interest in becoming an election judge for Cass County. Polls are open from 6am-7pm, however, we ask that our judges be there from 5am-8pm to set up and take down. Please keep in mind that every election is different and will require a different number of judges. That being said, not every judge will be used for every election, some will be put onto a backup list for those who cancel. Please turn this completed application into the County Clerk’s office. If you confirm work and fail to show up without notifying us, you will be removed from the list of election judges. If you have any questions, please feel free to call. …………………………………………………………………………………… 

4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip
13. Mailing Address
15. City
16. State
17. Zip
19. Phone number
20. Last four digits of Social Security Number
22. Email Address
24. Party Affiliation
    -- Select One --RepublicanDemocratIndependent (Rep Preference)Independent (Dem Preference)Whichever party is needed

    Must have equal representation at each polling location

26. Travel

    1. I would rather stay in my town
    2. Yes, I would be willing to travel wherever is needed
28. Do you have reliable transportation?

    1. Yes
    2. No
30. Are you employed full time with Cass County or the State of MO?

    1. Yes
    2. No
32. Are you in well enough health that you can work for 14-15 hours?

    1. Yes
    2. No
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field