County of Santa Barbara Elections Election Officer Application

Name *

Primary Phone *

Alternate Phone

Residence Address *

City *

Zip Code

Email Address *

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?

Yes

No

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

Yes

No

Are you able to work from 6:00 am until approximately 9:30 pm on Election Day?

Yes

No

Verification

Elections Division