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Precinct Official Application Form
This form has been modified since it was saved. Please review all fields before submitting.
Name (as you are registered)
Preferred Name
Email Address
Address
Mailing Address (if applicable)
City
State
Zip Code
Home Phone Number
Cell Phone Number
Where are you willing to serve?
Anywhere
15 minutes from home precinct
Only home precinct
My comfort with basic technology is best described as:
Fearless
Confident
Cautious
Please list any relatives who are also serving as Precinct Officials in Wayne County and their relationship to you.
Provide any additional information you would like to share with the Board of Elections below:
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* indicates a required field
OK
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