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Office of
Joseph E. Holland
County Clerk, Recorder, and Assessor and Registrar of Voters
Elections Division
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Election Officer Application
Election Officer Application for the County of Santa Barbara Elections
Name
*
Primary Phone
*
Alternate Phone
Residence Address
*
City
*
Zip Code
Please enter the month and day of your birthdate
Month
*
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
Select Day
1
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15
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25
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31
Email Address
*
Please answer the following questions:
Are you a registered voter in the State of California?
Yes
No
If NO: Are you a U.S. Citizen or lawfully admitted for permanent residence in the United States?
Yes
No
Have you previously worked as an Election Officer in Santa Barbara County?
Yes
No
Do you speak any language other than English?
Yes
No
Please check the languages you speak.
Spanish
Chinese
Hindi
Japanese
Khmer
Korean
Tagalog
Thai
Vietnamese
Other
Are you able to work from 6:00 am until approximately 9:30 pm on Election Day?
Yes
No
Please indicate all of the locations you are willing to work:
Santa Barbara Goleta
Santa Maria Orcutt
Santa Ynez Valley
Lompoc
Carpinteria
Verification
Submit
