County of Santa Barbara Elections Election Officer Application

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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 *

Day *

Email Address *

Please answer the following questions:

Are you a registered voter in the State of California?

Yes

If NO: Are you a U.S. Citizen or lawfully admitted for permanent residence in the United States?

Yes

Have you previously worked as an Election Officer?

Yes

If YES: Did you work as an Election Officer in Santa Barbara County?

Yes

Do you speak any language other than English?

Yes

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

Please indicate any and all days you are able to work an 8 hour shift beginning the weekend directly before the Election.
(These days are in addition to the Election Day hours listed above)

Saturday

Sunday

Monday

Please indicate all of the locations you are willing to work:

Santa Barbara Goleta

Santa Maria Orcutt

Santa Ynez Valley

Lompoc

Carpinteria

Verification

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