Monterey County Elections - Polling Application

Election Official
Interest Survey & Application

Last Name
First Name
Middle Initial
Address
City
ZIP Code
E-Mail (required)
Phone	( )
Are you a registered voter in Monterey County?	yes no

Please check the response which best describes your answers to the following questions.

I have served as an Elections officer in Monterey County before:	yes no
If yes, in what year did you last work?
I am interested in working at a Polling Place in the next:	6mo 1yr
I have my own transportation to get to and from a Polling Place:	yes no
I am fluent in English:	yes no
In addition to English, I am also fluent in:
Regarding technology, my comfort level can best be described as: fearless confident somewhat cautious slightly nervous uneasy
I am willing to attend an Elections Officer training class:	yes no
I am willing to accept the responsibility of following the Election Code and all laws governing the conduct of elections:	yes no
I am interested in recruiting other individuals to work with me at the polls (Note: anyone recruited by you will also be required to complete an application):	yes no
My primary motivation for wanting to work as an Elections Officer is:

I have the following special skill(s) and/or professional experience,
which I am interested in using to help Monterey County Elections
facilitate the electoral process:

Please enter the characters in the image to the right: