Juror Questionnaire For Criminal Cases Page 6
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18Juror ID number _____________
Juror ID number _____________
Case number _____________
Case number _____________
1.11
NAME OF YOUR CURRENT OR MOST RECENT EMPLOYER OR, IF A STUDENT, YOUR SCHOOL:
1.12
WHAT ARE YOUR SPECIFIC JOB DUTIES AND RESPONSIBILITIES?
YES
NO
1.13
DOES YOUR JOB INVOLVE SUPERVISING OTHER PEOPLE?
IF YES, APPROXIMATELY HOW MANY?
1.14
ARE YOU INVOLVED IN THE HIRING AND FIRING OF OTHER EMPLOYEES?
YES
NO
ARE YOU INVOLVED IN EVALUATING THE JOB PERFORMANCE OF OTHER EMPLOYEES?
1.15
YES
NO
1.16
ALL OTHER EMPLOYMENT YOU HAVE HAD IN THE PAST 10 YEARS (AND FOR HOW LONG):
1.17
THE PRESENT EMPLOYMENT STATUS OF YOUR SPOUSE OR ANY PERSON WITH WHOM YOU
HAVE A SIGNIFICANT PERSONAL RELATIONSHIP (CHECK ALL THAT APPLY):
RETIRED
UNEMPLOYED, LOOKING FOR WORK
EMPLOYED FULL-TIME
EMPLOYED PART-TIME
STUDENT
UNEMPLOYED, NOT LOOKING FOR WORK
HOMEMAKER
1.18
THE CURRENT OR MOST RECENT OCCUPATION OF YOUR SPOUSE OR ANY PERSON WITH WHOM YOU
HAVE A SIGNIFICANT PERSONAL RELATIONSHIP (AND FOR HOW LONG):
THE NAME OF THE CURRENT OR MOST RECENT EMPLOYER OF YOUR SPOUSE OR ANY OTHER
1.19
PERSON WITH WHOM YOU HAVE A SIGNIFICANT PERSONAL RELATIONSHIP OR, IF A STUDENT, HIS OR
HER SCHOOL:
JUROR QUESTIONNAIRE FOR CRIMINAL CASES/General Questions
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MC-002 [Rev. July 1, 2006]
C-3
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