IF YOU ARE INTERESTED IN SERVING AS AN ELECTION JUDGE

FOR PHELPS COUNTY:

Come to our office and fill out the application form, or to save yourself some time,

you may print this form, fill it out, and deliver it IN PERSON to:

Carol Bennett, Phelps County Clerk

Phelps County Courthouse

200 N. Main St. Suite 102, Rolla, MO  65401

Phone:  (573) 458-6101

            NAME:__________________________________________________________________

            ADDRESS:_______________________________________________________________

            PHONE NUMBER:_________________________________________________________

            POLITICAL PARTY PREFERENCE:___________________________________________

            POLLING PLACE PREFERENCE (if any):______________________________________