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Geary Juror Questionnaire - 2022-09-01 to 2022-12-31

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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. Is this phone number a cell phone?*
  4. Gender*
  5. Marital Status:*
  6. Have you had vocational or professional training?*
  7. Employment Status:*
  8. Are you at least 18 years of age?*
  9. Are you a citizen of the United States?*
  10. Are you a resident of Geary County?*
  11. Are you able to understand the English language?*
  12. Are you currently declared incompetent?*
  13. Have you been convicted of a felony within the past 10 years?*
  14. Have you served as a juror in this county within the past year?*
  15. Are you a breastfeeding mother?*
  16. Is there a reason you cannot serve as a juror on the date for which you have been summoned?*
  17. Have you ever served as a juror?*
  18. If yes:
  19. Have you or any members of your immediate family been a party to any civil or criminal lawsuit?*
  20. I CERTIFY THAT ALL ANSWERS ARE TRUE AND CORRECT.
  21. Leave This Blank:

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