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