The Trial Notebook by Paul Purcell - HTML preview

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JUROR DATA SHEET (for in-house use only)

Juror #:_____ Foreman?:___   [Or Alternate #:____ ]        Post Trial Interview Conducted: ___/___/___ By:___________

 Photo available (staple to top of sheet) 

General Info:

Full Name:                                                                                     SSN:                                                                 DOB:___/___/___

Address:                                                                                       Apt/Ste         

City:                                                                       St:           Zip:                    --                           Own/Rnt/Rsd  Yrs:

Phone:                                                                                      Cell Phone:   

E-Mail:                                                                                       Personal Website:

 Facebook    Instagram   YouTube  Twitter   Blog   Other:                                                                  ( Monitored for trial postings)

Employment:

Place of Employment:                                                                  Supervisor:

Address:                                                                                        Title:

City:                                                             St:           Zip:                    --               Website:

Phone:               -                            x               Fax:                                               E-Mail

Nature of work:

Previous Place of Employment:                                                                               Supervisor:

Nature of work:

Address:                                                                                                           Title:        

City:                                                              St:          Zip:                    --                Website:

Phone:                                                              Fax:                                               E-Mail:

Education:

Education:                                                             From:___/__ /___to __/___/___   FT/PT  Status/Degree:

School:                                                                                      Major: 

Contact :                                                                                  Advisor:

Address:                                                                                                        Suite.:               County:

City:                                                                       St:           Zip:                  -                   Website:

Phone:                                                       Pager:                                                            ICQ/UIN:   

Cell Phone:                                               Fax:                                                                E-Mail:

Notes:

General Notes:

 

 

 

Jury Consultant Notes:

 

 

Our decision on this juror:    Accept   Dismiss     Full “Subject Data File” Started and/or background check performed.

 All connections or relationships to opposing client, judge, or opposing counsel checked and verified   Criminal & Civil Histories Listed

Document Ctrl #

Filename:

JUROR DATA SHEET:      NAME:______________________________