Juror Information Form

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Juror Information Form
Juror No.:
Foreman?
Alternate?
General Information
First Name
Last Name
Middle Initial
SSN
Date of Birth
Age
Location of Birth
Sex
Race
Mailing Address
County
State
Zip
Years Lived in County
Years Lived in State
Miles from Home to Court
Home Phone Number
Cell Phone Number
Work Number
Email
Personal Website
Social Media Handle
Family
Marital Status
Spouse Name
Age
Sex
Separated/Divorced?
Marriage Date
Spouse Occupation
Employer
Annual Salary/Hourly Wage
Spouse Highest Education Reached
School
Degree
Date
Child Name
Sex
Age
Dependent?
School/Occupation
Child Name
Sex
Age
Dependent?
School/Occupation
Child Name
Sex
Age
Dependent?
School/Occupation
Employment Information
Occupation
Place of Employment
Supervisor
Address
City
Phone
Starting Date
Annual Salary/Hourly Wage
Current Business Hours/Weekly Schedule
Other Professions/Positions Held in the last 10 years
Dates Held
Military Positions Held (Ever)
Dates Held
Government Positions/Political Offices Held (Ever)
Dates Held
Education
Highest Education Reached
School
Degree
Date
Address
City
Phone
Currently a Student?
Other Colleges/Universities/Trade Schools Attended
Degrees
Dates
Personal Information
Political Party Affiliation
Conservative/Moderate/Liberal
Religious Affiliation
Church
Years Attended
Previous Religious Affiliation
Disabilities
Disorders
Medications

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Parent category: Business
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