Poll Worker Application

This election will be conducted for 4 days from saturday, september 11th through tuesday, september 14th. We encourage election workers to serve all 4 days ($20 bonus).

You must be a registered voter in the state of California.

Lawful permanent residents (Green Card Holders) are eligible to serve as workers, per assembly bill-817.

We are following mandates from County and State COVID-19 requirements. Personal Protective Equipment will be provided during training and voting dates.

Please enter a Last Name

Please enter a First Name

Please enter a House Number

Please enter a Street Name

Please select a Street Type

Please select a City

Please enter a valid Date of Birth

Please enter a valid Home Phone

Please select the date and time that you are available to serve.

Please confirm the understanding that you are required to attend a mandatory training class prior to each election.

Please confirm if you are or are not knowledgeable with laptops, printers, and tablet devices.

Last Name (* REQUIRED)

First Name (* REQUIRED)

House Number (* REQUIRED)

Street name (* REQUIRED)

Street Type (* REQUIRED)

Apt. #

City (* REQUIRED)

Zip

Date of birth (* REQUIRED)

Month

Day

year

Home Phone (* REQUIRED)

Cell Phone

Work Phone

work extension

Permanent resident number (for Green Card Holders)

Election Workers are needed on the following date (* Required)

Saturday, September 11th, 7:30 am to 6:00 pm

Sunday, September 12th, 8:00 am to 6:00 pm

Monday, September 13th, 8:00 am to 6:00 pm

Tuesday, September 14th , 6:00 am to 9:00pm

I have served as an Election Worker in Alameda County.

Yes No

I have my own car.

Yes No

I will ONLY serve in the city where I Live.

Yes No

I am willing to serve anywhere in Alameda County.

Yes No

I am fluent (speak, read, write) in English.

Yes No

Yes, I understand that I am required to attend a mandatory 2-hour in-person training class and complete a 2-hour online training class in order to be eligible to serve on election day. (* Required )

I am confident and knowledgeable with laptops, printers, and tablet devices. (* Required)

Yes No

I am interested in serving as a Judge (assistant manager).

Yes No

I am interested in serving as a Clerk (assistant).

Yes No

How did you hear about becoming an Election Worker?

Election Worker Application