Electronic Voting Specialist Class application
Santa Cruz County California

November 4, 2008 California Presidential General Election

IMPORTANT: You must enter the requested information in ALL THE FIELDS below.

This application must be received by the Santa Cruz County Elections Department in person, by mail, by FAX or by clicking SUBMIT below:

SANTA CRUZ COUNTY ELECTIONS DEPARTMENT
701 OCEAN ST RM 210
SANTA CRUZ CA 95060-4076
831-454-2060 / FAX: 831-454-2445
* * * PRESS TAB TO ADVANCE TO NEXT FIELD * * *
1. Name:
                First name       Middle Name or Initial       Last name
2. TELEPHONE NUMBER: Daytime       Evening (If different)
3. Top Three Choices for Class
Click here for class dates

  • Choice 1 Time and Date:

  • Choice 2 Time and Date:

  • Choice 3 Time and Date:

4.If online submission fails, download and print this form then deliver by mail, in person or by FAX