Candidate Name
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Your Employee ID Number:
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I am running for the following position:
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Please Select
President
Vice President
Secretary
Treasurer
Director - General Unit MOU
Director - Probation 075 (Sworn Staff) Unit MOU
Director - Confidential Unit MOU
Director - Alameda Health System (Hospitals) MOU
Director - Court MOU
Director - District Attorney Inspectors MOU
Director - Sheriff Sworn MOU
Director - Sheriff Non Sworn MOU
A brief statement of reason for running for office:
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Personal Email:
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example@example.com
Cell Phone:
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Please enter a valid phone number.
Format: (000) 000-0000.
What is your Agency/Department:
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Please Select
ACERA
Alameda County Health
Alameda Health System (AHS/Hospitals)
Assessor
Auditor-Controller
Behavioral Health
Board of Supervisors
Community Development Agency
County Library
County Administrator
County Counsel
Courts
Department of Child Support Services
District Attorney
Environmental health
General Services Agency
Human Resource Services
Information Technology Department
Law Library
Probation
Public Defender
Public Health
Public Works Agency
Registrar of Voters
Sheriff
Social Services Agency
Treasurer-Tax Collector
Zone 7
Other
Date
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Month
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Day
Year
Date
Candidate Signature (use your PC mouse or finger to sign)
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JitBit Email
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