Election Worker Access

CONTRA COSTA COUNTY ELECTIONS

https://www.contracostavote.gov Email: eo@vote.cccounty.us

Home >> County Worker Application

Basic Info
Last Name	Required Field
Middle Name
First Name	Required Field
Error
Date of Birth	Required Field Invalid format (mm/dd/yyyy)
Political Party:
I am a:	Required Field
I am registered to vote in:
County Name:
RESIDENCE ADDRESS
Street Number	Required Field Pre
Street Name	Required Field Type
Suf	Apartment Invalid Apt Format.
City	Required Field State
Zip Code	Required Field xxxxx or xxxxx-xxxx
MAILING ADDRESS Same as Residential Address
Mailing Address
City	State
Zip Code	xxxxx or xxxxx-xxxx
CONTACT INFO
Home Phone	Required field (xxx) xxx-xxxx or xxx-xxx-xxxx
Cell Phone	Required field (xxx) xxx-xxxx or xxx-xxx-xxxx
Work Phone	Required field (xxx) xxx-xxxx or xxx-xxx-xxxx
Primary Phone	Required Field
Email	Required field Invalid Email Format.
County Email	Required field Invalid Email Format.
Primary Email	Required Field
I am fluent in other languages in addition to English as follows:
Spanish Korean Japanese Vietnamese Chinese Tagalog Hindi Other Required Field
Work Information
I am a Contra Costa County employee:	Required Field
Department Name:	Required Field
Employee ID:	Required Field
Address:	Required Field
City/ State	Required Field
Zip	Required Field xxxxx or xxxxx-xxxx

Poll Worker Commitment:
• I am able to stand and/or sit for long periods of time. • I will follow the directions of the lead poll worker and the Elections Office. • I will remain politically neutral in my dress and speech at all times. • I am willing to rotate through a range of tasks at my polling place. • I understand training is required and commit to attending a class each election. • I am able to work a full 14-hour shift (6am to 9pm) on Election Day. • I am responsible for my transportation to training class and to the polls on Election Day.

Poll Worker Commitment:

• I am able to stand and/or sit for long periods of time.

• I will follow the directions of the lead poll worker and the Elections Office.

• I will remain politically neutral in my dress and speech at all times.

• I am willing to rotate through a range of tasks at my polling place.

• I understand training is required and commit to attending a class each election.

• I am able to work a full 14-hour shift (6am to 9pm) on Election Day.

• I am responsible for my transportation to training class and to the polls on Election Day.

I confirm that I meet the requirements above and would like to be placed on a list of potential poll workers. I understand that Election Day placement is not guaranteed and that assignments are made at the discretion of the Elections Division.

Verification Code