the student election program at a vote... · 2019-11-07 · hindi, japanese, khmer, korean,...
TRANSCRIPT
r The Student Election Program offers qualified high school students the opportunity to learn about and participate in our democratic process by serving as a Vote Center Aide. Students can earn a stipend or community service credits for their efforts. While students may learn about democracy second hand from a book or in a classroom, the opportunity to serve as a Student Aide on Election Day is an invaluable, real life experience that will bring awareness to young Americans regarding the importance of voting as well as to help lay the groundwork for a lifetime of civic involvement and responsibility. We are pleased to announce that we are now accepting applications from High School Students for the March 3rd, 2020 Presidential Primary Election.
Student Information
Language Are you fluent in any other language? YES NO If yes, specify __________________________________
Seeking language assistance in: Chinese, Hindi, Japanese, Khmer, Korean, Persian, Portuguese, Russian, Spanish, Syriac, Tagalog, Thai and Vietnamese.
Availability All Students must work on Election Day (Tuesday, March 3, 2020, 7:00 a.m. to 10:00 p.m.). Students can also check one other day below to serve.
Saturday, February 29, 2020 (8 hours)
Sunday, March 1, 2020 (8 hours)
Monday, March 2, 2020 (8 hours or 4 hours)
I can provide my own transportation? YES NO
Maximum distance to assignment?
5 miles 5-10 miles 10-20 miles
Questions? More Information? Website: www.sccvote.org
Email: [email protected] Phone: 408.282.3031
Signed Permissions
School Principal/Coordinator Your student would like to serve the community as a volunteer Student Vote Center Aide for the Tuesday, March 3, 2020 Presidential Primary Election. Students are required to receive written permission from the Principal, or a Principal appointed Coordinator to participate in this program. We maintain rigorous attendance records on all Student Aides and furnish schools with a post-Election attendance list to monitor and verify participation.
Parent/Guardian Your son/daughter has expressed an interest and would like to volunteer. In order to assign a high school student under the age of 18, we must have the permission of the parent or guardian. If you would like for your son/daughter to participate, please complete the information below and sign. If you have any questions, please contact the Student Election Program Coordinator by email at [email protected] or by phone at 408.282.3031.
Name
Address
City
Alternative Phone
Cell Phone
DOB (mm/dd/yyyy) Age
Grade Level GPA
Name of School
Principal/Coordinator Name
Date
Principal/Coordinator Name
Date Parent/Guardian Name
Parent/Guardian Signature
Date
Principal/Coordinator Name
Principal/Coordinator Name
Date
Parent/Guardian Name
Parent/Guardian Name
THE STUDENT ELECTION PROGRAM
STUDENT INFORMATION
SIGNED PERMISSIONSLANGUAGESchool Principal/Coordinator
QUESTIONS?
AVAILABILITY
WEBSITEwww.sccvote.org
EMAIL [email protected]
PHONE408.282.3031
Offers qualified high school students the opportunity to learn about and participate in our democratic process by serving as a Vote Center Aide. Students can earn a stipend or community service credits for their efforts. While students may learn about democracy second hand from a book or in a classroom, the opportunity to serve as a Student Aide on Election Day is an invaluable, real life experience that will bring awareness to young Americans regarding the importance of voting as well as to help lay the groundwork for a lifetime of civic involvement and responsibility. We are pleased to announce that we are now accepting applications from High School Students for the March 3rd, 2020 Presiden-tial Primary Election.
Name
Date
Principal/Coordinator Name
Principal/Coordinator Signature
Parent/Guardian Name
Parent/Guardian Signature
Date
Address
City
Cell Phone
Are you fluent in any other language*? Yes or No
If yes, specify__________________________________
*Seeking language assistance in: Cantonese, Gujarati, Hindi, Japanese, Khmer, Korean, Mandarin, Napali,
Persian, Portuguese, Punjabi, Russian, Spanish, Syriac, Tagalog, Tamil, Telugu, Thai and Vietnamese.
I can provide my own transportation? Yes or No
Maximum distance to assignment?
All Students must work on Election Day (Tuesday, March 3, 2020, 7:00 a.m. to 10:00 p.m.). Students
can also check one other day below to serve.
Your student would like to serve the com-munity as a volunteer Student Vote Center Aide for the Tuesday, March 3, 2020 Presidential Primary Election. Students are required to receive written permission from the Principal, or a Princi-pal appointed Coordinator to participate in this program. We maintain rigorous attendance records on all Student Aides and furnish schools with a post-Election attendance list to monitor and verify participation.
Alternative Phone
DOB(mm/dd/yyyy)
Name of School
Grade Level GPA
Age
Saturday, February 29, 2020 (8 hours)
Sunday, March 1, 2020 (8 hours)
Monday, March 2, 2020 (8 hours or 4 hours)
Stipend
5 miles
CommunityService
5 - 10 miles 10 - 20 miles
CHOOSE ONE:
100% 50%FUNDRAISING(optional):
Organization Name:_______________________________
Parent/GuardianYour son/daughter has expressed an inter-est and would like to volunteer. In order to assign a high school student under the age of 18, we must have the permission of the parent or guardian. If you would like for your son/daughter to participate, please complete the information below and sign. If you have any questions, please contact the Student Election Program Coordinator by email at [email protected] or by phone at 408.282.3031.