| Name: |
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| Address:
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| City:
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| Home
Phone: |
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| Business
Phone: |
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| Email: |
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| The
California Penal Code (Section 893) sets forth the qualifications
of Grand Jurors. The
following eight questions are included to determine that you
meet the Penal Code requirements. |
|
|
| PLEASE
COMPLETE: |
|
u How many miles
(round trip) is it from your residence to the Eric Rood Center?
miles.
u Are you now,
or have you ever been, involved in litigation against Nevada
County, its special districts
or any local public agency?
Yes
No
u Do you have
any typing and/or computer or word processing skills?
Yes
No
u Number of
years in the community.
years
u Age
Range: 18-25
26-34
35-44
45-54
55-64
65-74
75 and over
u Gender
Male
Female
u Race
or Ethnicity [may select more than one]:
u Occupation
u Years,
if any, served on a regular Grand Jury
|
| PLEASE
EXPLAIN |
1.
Your experience within community organizations, public
agencies and the length and nature of your job experience (s):
|
2.
Past trial or Grand Jury experience:
|
3.
Any research experience, or investigative skills you
have:
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4.
Describe any problems you might have investigating any
local county or city governmental department, private or non-profit
agencies, and how you would deal with them:
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5.
What do you think are some of the major problems facing
city and county government?
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6.
How many hours a month would you have available for participating
on the Grand Jury?
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7.
Describe personal goals you would like to accomplish
or complete within the coming year July 1 – June 30?
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8.
Describe any physical or sensory impairments (hearing, vision, etc.) you have:
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9.
Please describe some of the qualities you have that have
helped you contribute to community organizations and/or to your
effectiveness in other work (past and present):
|
| Date: |
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| Signed: |
|
You should receive confirmation on the receipt
of this application within 3 working days.
How would you like to receive your confirmation? Email
Phone |
