The Elector List

First Name *

Last Name *

Email *

Mobile Phone *

Business Email

Business Phone

Residential Address *

Residential Apartment/Suite

Residential City *

Residential State *

Residential Zip Code *

Residential County *

State Voter Registration ID *

Birthdate *

Which best describes your Role? *
Citizen/Volunteer
County/State/Federal Worker

Local Group Affiliations

State Group Affiliations

National Group Affiliations

County Role:
Director
Voter Registration Maintenance Manager
Voter Registration Maintenance Staff
Other (please specify)

State Role:
Director
Voter Registration Maintenance Manager
Voter Registration Maintenance Staff
Other (please specify)

Other Role:
Elected Official
Candidate for Elected Office
Member of Media, Press (specify Organization)
Volunteer Election Worker
Other (please specify)

State and/or Counties you like to have access to *

State/County:

All Counties

OR

REFERRED BY

How did you find out about ELLY? *

Name *

Email *

Tell us more about you...

Terms of Use Eligibility and Attestation

To obtain access to ELLY, an applicant must be at least eighteen (18) years of age, provide their legal name, residential address, email address, and phone. Additionally, users must agree to complete the onboarding orientation (“Getting Started” videos) prior to initial use.

The applicant must further attest that the applicant:

Has not been convicted of, or found liable in a civil action arising from, any election-related offense or violation of election law, including voter fraud, voter intimidation, or unlawful interference with an election
Has not been convicted of identity theft, or of fraud involving the misappropriation of another person's personal information
Has not been convicted of unauthorized access to a computer or computer network, including any offense under the computer-crime statute of any state (including the Georgia Computer Systems Protection Act, O.C.G.A. § 16-9-90 et seq.) or the federal Computer Fraud and Abuse Act
Has not been convicted of perjury, falsification of records, or making a false statement to a government agency
Is not subject to any court order restricting the applicant's participation in election-related activity
Has not previously had access to ELLY revoked for cause
Is not acting for, at the direction of, or as a conduit for any person who would not be able to make each of these attestations

The applicant affirms that the foregoing is true and correct. The applicant must promptly notify EagleAI if any statement ceases to be true. A false attestation is cause for immediate revocation of access under Section 13 of the Terms and Conditions.

EagleAI does not consider an applicant's political party, political affiliation, viewpoint, race, color, religion, sex, national origin, or disability in granting, denying, or revoking access. EagleAI retains sole discretion to approve, deny, or revoke access credentials for any reason.

Information submitted with an application is handled as described in the ELLY Data Handling and Privacy Policy.

I attest to the Terms of Use and am eligible to apply

I attest to the Term of Use and am eligible to apply