Jury Study Participation Application Your information will be kept confidential and will not be shared with anyone. Virtual Focus Group Juror Application Join one of our online Focus Group sessions and get paid for your opinions! Real cases will be presented to you for your discussion and opinions. After the online presentation, you will be asked to vote and give your honest thoughts and opinions about what you hear. You will be paid in exchange for your time and participation. Nothing from the sessions will ever be published or available to the public and will remain confidential. Prior to the focus group date, you will be required to sign a Confidentiality Agreement via Docusign or PDF to protect the interests of the parties involved in the cases you will be hearing. Requirements include: Access to a webcam & microphone, high speed internet, be 18 years of age or older, have the ability to use the chat feature during a Zoom meeting (no app or account required). After you apply and as new Virtual Focus Group dates get added, we will reach to you via email for your availability. Thank you for your interest! Name* First Last Age (18+ Only)*Please enter a number from 18 to 99.Gender*FemaleMaleSelect the City/State closest to you* Atlanta, GA Tampa, FL Springhill, FL Santa Rosa Beach, FL New York, New York Miami, Florida Denver, Colorado Dallas, Texas Los Angeles, California Race*CaucasianAfrican AmericanAsianNative AmericanMiddle EasternLatinoMulti-RacialEmail* Enter Email Confirm Email Number you can be reached at 9am - 5pm*Mailing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you ever served on a jury?*YesNoHave you ever participated in one of our Jury Studies or our Focus Groups before?*YesNoAre you a convicted felon?*YesNoAre you a U.S. Citizen?*YesNoMarital Status*Single, Never MarriedMarriedDivorcedSeparatedWidowedDo you have any children?*YesNoHighest Level of Education*Less than High SchoolHigh School or GEDAssociate or Technical DegreeSome CollegeBachelor DegreeGraduate DegreeWhat was your Field or Area of Study?*Do you have any experience in the Medical Field?*YesNoPlease explain your Medical Experience*Do you have any experience in the Legal Field*YesNoPlease explain your Legal Experience.*Have you ever served in the armed forces of the U.S.?*YesNoCan you speak and understand the English language?*Yes, I am fluent in speaking and understanding EnglishI can speak and understand a little EnglishNoWhat is your Political Affiliation?*RepublicanDemocratAre you currently employed?*YesSelf-employedNoCurrent Employer, Your Title, # of Years with Company?*For example: Apple, Inc., Software Developer, 5 yearsIndustry or Field of Work? (If unemployed, most recent)*Please tell us what your job or occupation is, or if you are unemployed or retired, please list the most recent.Total Family Annual Income*Less than $40k$41k - $75k$75k - $100k$101k - $199k$200k+Do you own your own car?*YesNoMake/Model/Year of primary vehicle*For example: Honda Civic 2005Do you rent or own a home?*RentOwnI don't rent or own a homeHave you ever been a party to a lawsuit other than divorce?*YesNoWhat type of lawsuit(s)?*Name of last book you read?*What magazines do you like to read?*How many times a week do you watch the news?*OnceTwo or ThreeFour or FiveNearly every dayI do not watch the newsWhat is your favorite movie genre?*What are your hobbies?*For example: tennis, sewing, fishing, joggingWhich newspapers do you read?*If none, type "none"What type of cell phone do you use?*AppleAndroidFlip Phone or otherI do not have a cell phoneDo you have WIFI / Internet Access?* Yes I can get it No How did you hear about us?*FacebookCraiglistGoogle SearchWord of MouthCaptcha