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 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

Verification

Elections Division