Poll Worker Sign Ups!
If you are interested in participating as a Republican poll worker or other election official in Jefferson County, please complete the questionnaire below.
Sign in to Google to save your progress. Learn more
Email *
Do you currently reside in Jefferson County? *
Name (First and Last) *
Current Street Address *
Zip Code *
Daytime Phone Number *
Are you willing to travel to a precinct outside of your own, potentially across town? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy