Read Microsoft Word - SPWP_CompletePacket_English text version

NOMINATION FORM

STUDENT POLL WORKER PROGRAM

PLEASE PRINT LEGIBLY & COMPLETE ENTIRE FORM

Reset Form Print Form

SAN JOAQUIN COUNTY REGISTRAR OF VOTERS OFFICE

Form Number

Name: Home Address: City: Home Phone: Zip Code:

Social Security #: Mailing Address: City: Date of Birth: Zip Code:

Student

Can you speak and understand a language If Yes, What language? other than English? Yes No I understand that I must meet the following requirements to be eligible for this program: * A high school senior with a grade point average of at least 2.5 * * United States citizen at the time of the election * At least 16 years of age at the time of the election * A student in good standing Student Signature: Name: Date:

Parent

Emergency Phone Number(s) on Election Day: This is to certify that I have read the parent letter and give permission for my son/daughter, named above, to serve as a Student Poll Worker. Parent Signature: Teacher/Administrator: High School: Date:

School

Contact Number:

As a teacher/administrator at the above mentioned high school, I verified that the above named student meets the eligibility requirements and would be an outstanding student poll worker.

Teacher/Administrator Signature:

To: Return By Mail: By FAX: By E-Mail In Person:

For Elections Use Only: Comment:

Home pct:

Date:

Registrar of Voters Office, Precinct Operations, Student Poll Worker Program PO Box 810, Stockton CA 95201 (209) 468-9534 [email protected] 44 N San Joaquin St., Suite 350, Stockton CA 95202

Assigned pct: Date Placed: ID#: Initials:

Scanned Linked

COUNTY OF SAN JOAQUIN

REGISTRAR OF VOTERS OFFICE

44 NORTH SAN JOAQUIN ST., SUITE 350 P.O. BOX 810 STOCKTON CA 95201

AUSTIN G. ERDMAN REGISTRAR OF VOTERS (209) 4683194 [email protected]

PHONE (209) 4682885 FAX (209) 4682889 www.sjcrov.org

Dear Parents: State law allows high school seniors in good academic standing and who are citizens of the U.S. to serve as poll workers, if they are at least 16 years of age. All students that are placed will be required to attend a two hour training class prior to Election Day. Students will serve with 3 or 4 other members of the election board. The hours are long. The student is expected to be at the polling place at 6:00 am and may not be released until 9:00 pm. Students are responsible for providing their own transportation to and from the polling place. Assigned polling places are in close proximity to the home or school. Students are paid the same as other poll workers - $130 for Election Day and an additional $35 for attending a training class. Paychecks are mailed 3-5 weeks following the election. Your child will benefit from this program in several ways: · Hands-on experience of learning how local elections are conducted · Receive training on how to open a polling place, process voters and close the polls · Inspiration to register and vote when they reach 18 years of age · Gain a lifelong appreciation for the democratic process · Receive satisfaction of playing an active and important role in their community In order to be considered for this program, your child must complete the attached nomination form and meet the requirements and deadline. The teacher will send the forms to the Registrar of Voters Office. It is possible that not all students who submit a nomination form will be placed. However, all nomination forms will be accepted and anyone not placed will be put on a "Waiting List." As vacancies occur, students will be notified, therefore all students are encouraged to attend the training session. If your child would like to be considered for the Student Poll Worker Program for the upcoming election, the nomination form must be returned to the teacher for transmittal to the Registrar of Voters Office. If for some reason your child is unable to participate, please advise our office immediately. We look forward to your child's participation! Please do not hesitate to call us at (209) 468-2892 should you have any questions. Rose Mohamad Student Poll Worker Coordinator Registrar of Voters Office 209-468-2894

Information

Microsoft Word - SPWP_CompletePacket_English

2 pages

Find more like this

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

298263


You might also be interested in

BETA
AUGUST 2011 VOICE.indd
Microsoft Word - Spring 2008 Syllabus.doc
Microsoft Word - ccm030507.doc
001_Welcome Letter.indd