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Grand Jury Application

For A Printable Version Click Here
 Name: 
 Address:  
 City: 
 Home Phone: 
 Business Phone:
 Email:
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.  
 Are You: Yes No
1.  A United States citizen?
2.  Eighteen years of age or older?

3.  A resident of the County and State for one year?

4.  English speaking?
5.  Currently serving as a trial juror?

6.  Within one year of having been discharged as a grand juror?

7.  Convicted of malfeasance in office or any felony?
8.  Serving as an elected public official or an elected member of a public agency board? 
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]:

White      Black or African American
Hispanic or Latino   Native Hawaiian or other Pacific Islander
American Indian or Alaskan Native   Asian
Other race or ethnicity   Decline to Answer   

                 
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:
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:
5.  What do you think are some of the major problems facing city and county government?
6.  How many hours a month would you have available for participating on the Grand Jury?
7.  Describe personal goals you would like to accomplish or complete within the coming year July 1 – June 30?
8.  Describe any physical or sensory impairments (hearing, vision, etc.) you have:  
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:
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