Yes, I would like to be a Poll Worker! If you would like to be a poll worker, please fill out and submit the form below. Pollworker Signup CONTACT INFORMATION First Name * Middle Name or Initial * Last Name * Suffix – Jr. II, etc. Street Name * City ZIP Code * County * Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion Mcduffie Mcintosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Upson Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth ADDITIONAL INFORMATION Phone * Email * If you are seeking to serve as a poll worker with a civic group or organization, please list the group or organization name here Are you fluent in a Language other than English? Spanish Korean Other If other, please specify Please respond to the following: * I acknowledge that I am at least 16 years of age Please see O.C.G.A. § 21-2-92 for all qualifications of poll officers. reCAPTCHA SUBMIT FORM If you are human, leave this field blank.