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Geary Juror Questionnaire - 2021-01-01 to 2021-04-30

Steps

  1. 1. Step One
  2. 2. Step Two
  3. 3. Step Three
  • Step One

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    2. IN THE DISTRICT COURT OF GEARY COUNTY, KANSAS

      You have been selected to serve as a juror in the District Court of Geary County. Please carefully read and answer the questions on this form. The Juror Questionnaire is not a public record and is only made available to court personnel and the attorneys to the case being tried. Your cooperation and willingness to serve as a juror is appreciated. Your address and telephone number will remain confidential and will not be shared with anyone.

    3. Gender*

    4. Marital Status:*

    5. Have you had vocational or professional training?*

    6. Employment Status:*

    7. Are you at least 18 years of age?*

    8. Are you a citizen of the United States?*

    9. Are you a resident of Geary County?*

    10. Are you able to understand the English language?*

    11. Are you currently declared incompetent?*

    12. Have you been convicted of a felony within the past 10 years?*

    13. Have you served as a juror in this county within the past year?*

    14. Are you a breastfeeding mother?*

    15. Is there a reason you cannot serve as a juror on the date for which you have been summoned?*

    16. Have you ever served as a juror?*

    17. If yes:

    18. Have you or any members of your immediate family been a party to any civil or criminal lawsuit?*

    19. I CERTIFY THAT ALL ANSWERS ARE TRUE AND CORRECT.