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