Monterey county elections Monterey County Elections

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Poll Worker Application

Election Official Interest Survey & Application

Last Name

First Name

Middle Initial

Residential Address

Address

City

ZIP Code

Mailing Address

Address

City

State

ZIP Code

E-Mail

Phone

Are you Registered to vote in the State of California?

  Yes, in the County of Monterey
  Yes, in the County of
  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:


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