Home Department Registrar of Voters Election Officers Election Officer Application

Election Officer Application

All fields with an asterisk (*) are required.
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Your Legal Name: *

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Date of Birth *

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Residency *

I am a U.S. Citizen:
If not a U.S. Citizen, are you a Legal Permanent Resident of the U.S.?

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County Employee 

I am a County Employee:

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Voter Registration

I am registered to vote in San Joaquin County:

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Residence Address *

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Mailing Address

If different from Residence Address.

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Phone Number

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Email Address *

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Social Security Number *

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Language

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I prefer to serve in the following area(s)

Mark all that apply:
Please Indicate Your Interest: *

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Authorization *

In lieu of a signature, please select one of the following options, to confirm your identity and "sign" this application.

 

By clicking [Submit Application], I am signing this application and I acknowledge that failure to provide information or providing incorrect information may delay my receiving a work assignment and/or pay for the election.