Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Geary Juror Questionnaire 2020-09

  1. 8thjdLogo

  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 AN CORRECT.

  20. Leave This Blank:

  21. This field is not part of the form submission.