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Election Official Interest Survey & Application
Last Name
First Name
Middle Initial
Address
City
ZIP Code
State
E-Mail
Phone
Date of Birth
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:
I am fluent in English:
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:
I am willing to accept the responsibility of following the Election Code and all laws governing the conduct of elections:
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):
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: