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Placer County Human Resources Department
#2026-11858-01


Supplemental Questionnaire

Last Name First Name
 

 

 

Vote Center Inspector

Supplemental Questionnaire



 

This questionnaire will not be scored but will be used in determining assignment placement.



 

By continuing, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge.


 

I have read and understood the above information.

1.

Are you at least 18 years of age?

Yes No
2.

Are you a registered voter in the State of California?

Yes No
2a.

If you are not a registered voter, are you a permanent legal resident of the United States?

Yes No

 

If you selected to work the November 3, 2026 General Election:


3.

Are you able to attend a mandatory training class in October or November? Vote Center staff will be notified of the training date and time in their appointment letter.

Yes No
4.

Are you available to work Saturday, October 24, 2026 through Tuesday, November 3, 2026?

Yes No
5.

Are you available to work Saturday, October 31, 2026 through Tuesday, November 3, 2026?

Yes No
6.

Are you able to read and write fluent English?

Yes No
7.

In addition to English, please select the language(s) in which you are fluent in speaking: 

Spanish
Tagalog
Punjabi
8.

Have you retired from the California Public Employees'' Retirement System (CalPERS) or another retirement system?

Yes No
9.

Do you have any restrictions on being assigned to work at or within 100 feet of a school?

Yes No

 

Thank you for completing the supplemental questionnaire. We encourage applicants to review their answers for accuracy prior to submitting.

Please Save & Continue to move forward to the next tab.

Be sure to select the "Submit" button once the application has been completed. You will receive an email confirmation that the application has been submitted.

A notice of your status will be sent to you after the posted final filing date.