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Applicant information

Are you an employee of the City of Maple Grove?*
Please check yes if you are currently employed by the city.
1. Yes
2. No
Do you have a relative who is applying to be an election judge for the City of Maple Grove at this time?*
1. Yes
2. No
If yes, please state the person's name, address and your relationship.
Please note that relatives may not serve in the same precinct at the same time (MN §204B.19).
Are you a relative of any candidate for any of the offices on the ballot?*
1. Yes
2. No
If yes, please state the person's name and your relationship.
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Data practices advisory: Under the Minnesota Government Data Practices Act, some of the information you are asked to provide (e.g. your address, telephone number, party affiliation and email address) is private. You are being asked to provide that information in order to facilitate precinct assignments, training schedules, and for payroll and election staff use. Private information will only be shared with personnel whose job responsibilities require access to the information. You can choose not to provide some or all of the private information, but doing so may limit your ability to serve as an election judge.
Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge.
Applicant signature*

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