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Department of Elections



San Francisco Department of Elections Online Pollworker Application
Municipal Election, Tuesday November 5, 2013

I am a REGISTERED VOTER of CALIFORNIA and would like to be placed on a list of potential poll workers for the November 5, 2013 Municipal Election.

Only those who have never been pollworkers before should use this application. If you are not currently registered to vote, please click here to do so before applying for this position. (High School cannot apply online, please download this form instead: coming soon )


* Indicates required fields

 

Prefix

 

* First Name

 

 MI

 

* Last Name

 

 Suffix

 

 

 

 

* Address

* City

 

 * State

 

   * ZIP/Postal Code

 

 

   

* Email Address

* Date of Birth

* Home Phone

 

 

  (If we are unable to contact you by phone you will be disqualified from the pollworker position. )

Cell Phone

 

 

 

* For which position are you applying?

 

If you are applying to be an Inspector, do you have access to reliable transportation in order to pickup and deliver election materials?

 Yes        No

 

* Are you willing to work in a precinct away from your neighborhood?

 Yes        No

 

Please indicate language(s) you can speak in addition to English:

 

* How did you hear about becoming a pollworker?

Other:

 

 

 

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