Full name: Mailing address: City: State: Zip: Phone: Email: Confirm email: Are you a registered voter in California?: ChooseYesNo Briefly describe why you would like to serve on the Community Election Working Group: My membership would fall under the following category: Choose OneLatino communityAsian communityCity ClerksLeague of Women Voters; permanent groupRepublican Party; permanent groupDemocratic Party; permanent groupAt largeAlternative partiesSenior CommunityVeterans AffairsDisabled CommunityPoll WorkersYouth Representative – 18 to 25 years of age