MOCK JUROR APPLICATION

I understand that you are interested in serving as a juror on a mock trial and/or focus group at Advanced Resolution Management. Please complete the Jury Questionnaire below. It is important that you answer these questions to the best of your ability.
What is your full name?*
First Last
Mailing address?*
Street Address Address Line 2 City State ZIP Code
Phone number?*
Email address?*
Gender?*
Age?*
Place of Birth*
What is your ethnicity origin (or Race)?*
Please specify your ethnic origin or race:*
What is your marital status?*
What language(s) if any, do you speak besides English?
Are you registered to vote?*
Which political party do you belong to?*
Please specify your political party affiliation:*
Have you ever been convicted of a felony?*
How far did you go in school?*
Did you graduate?*
Have you ever served in the military?*
Which branch and when?*
What was your highest rank?*
Are you currently employed?*
Where are you employed?*
What is your occupation?*
What did you do before you retired?*
What was your last job?*
What is your annual salary?*
Have you ever supervised employees?*
How many employees have you supervised?*
Have you ever owned your own business?*
What was the type of business?*
Are you a member of a union?*
Which union(s) are you a member of?*
Have you ever given advice to coworkers?*
Did your coworkers follow your advice?*
Have you ever given advice to your supervisor?*
Did your supervisor(s) follow your advice?*
Do you own a gun?*
Do you own your home?*
Do you attend religious services?*
How often do you attend religious services?*
Do you have children?*
How many children do you have?*
Please fill in the gender and age of each child:*
Do you have any hobbies?*
Do you consider yourself successful?*
Do you consider yourself open minded?*
Are you willing to admit when you are wrong?*
Are you willing to stand by your opinion when you are convinced you are right?*
Do you compromise?*
Do you think this questionnaire is too long?*
Do you get distracted easily?*
Who are three people you admire most?*
Who are three people you admire the least?*
Do you read a daily newspaper?*
Which newspaper(s) do you read?*
Do you watch a morning or evening newscast or both?*
What are your three favorite tv shows?*
Do you watch sporting events?*
What is your favorite sport?*
What type of music do you listen to?*
How many hours per day do you spend on the Internet?*
Do you have any social media pages?*
Which social media services do you use?*
- Facebook
- Twitter
- Instagram
- LinkedIn
- other
(Choose all services you use)
Please specify other social media services you use:*
Do you shop online?*
Have you ever served on a civil jury before?*
In the civil trial, did the jury reach a verdict?*
In the civil trial, were you the foremen?*
Have you ever served on a criminal jury before?*
In the criminal trial, did the jury reach a verdict?*
In the criminal trial, were you the foremen?*
Have you ever served on a mock jury or legal focus group before?*
How long ago did you last serve on a mock jury or legal focus group?*
How many times have you served on a mock jury or legal focus group?*
When you served on a mock jury or legal focus group, was it in Nevada or out of state?*
Have you ever sued someone or been sued?*
Were you the Plaintiff or the Defendant?*
What was the nature of the dispute?*
Have you ever been in an automobile accident?*
Were you injured in the accident?*
What did the injuries entail?*
Did you file a claim for money damages?*
Has it been resolved?*
Did you file a lawsuit?*
Is the lawsuit still open?*
Were you at fault?*
Have you ever been the victim of a Professional Malpractice?*
What type of Malpractice?*
Do you think verdicts of our justice system are generally too high, too low, or no opinion?*
Do you believe there should be a "cap" on money damages?*
Are you willing to sign a confidentiality agreement?*
If you are chosen as a juror, do you understand that unless you stay through the entire trial, you will NOT be compensated for your time?*
By submitting this application and if chosen to serve as a mock juror with Advanced Resolution Management, I agree to be videotaped and sign a confidentiality agreement barring me from disclosing any case information to anyone outside of ARM.*
- I have read and agree with the above statement
Thank you for your patience and participation. We will be contacting you if you are picked to serve. Please do not hesitate to contact us if you have any questions.

Thank you, Advanced Resolution Management

MOCK JUROR APPLICATION

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