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Juror Questionnaire - Alabama
| Juror Questionnaire Form. This is a Alabama form and can be used in Southern District District Court Federal . |
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Service date: JUROR QUESTIONNAIRE You must complete the enclosed juror questionnaire and return it in the enclosed envelope within five days of receipt. Youranswers will assist the parties and the court in selecting jurors who will be fair and impartial. By answering these questions inwriting now, you will not be asked them in open court, and the jury selection time will be substantially shortened. Your answerswill be kept confidential, and the lawyers, parties, and court personnel are prohibited from releasing them to the public. Allquestionnaires will be destroyed following your service. If you do not complete and return the questionnaire, you will berequired to do so on the morning of your summoned appearance. Such a delay may result in your being required to attendcourt not only this month but next month also. If your name or address has changed, please correct: _____________________________________________________________________ ______________________________________ _____________________________________________________________________ ______________________________________ _____________________________________________________________________ ______________________________________ (Please fill in name and address) PHONE NUM BE R(S ): HOME (______)________________________ WORK (______)________________________ Number of years at present address:__________________________________ Do you: [ ] Rent apartment [ ] Rent home [ ] Own [ ] Live with friends [ ] Live with parents/relativesWhat other addresses have you had in the past five years?_____________________________________________________________________________________________________________________________________________________________________________________________________________Date & place of birth:____________________________________________________________________________________________________________1. Are you a salaried employee of the U.S. Government? [ ] Yes [ ] No 2. Do you consider yourself: [ ] Caucasian [ ] African-American [ ] Asian [ ] Native American [ ] Hispanic [ ] Native Hawaiian [ ] Pacific Islander [ ] Other_____________________________3. What is your occupation, or, if retired, your former occupation?_________________________________________________________________________4. Name and address of your employer:__________________________________ Job description: ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ Number of years employed in present job:_________ Daily shift hours: FROM:_________ TO:_________ Do you supervise others? [ ] Yes [ ] No If yes, how many?____________________________________ Do you have a second job? [ ] Yes [ ] No If yes, please describe:__________________________________________________________________5. Describe any previous occupations:_______________________________________________________________________________________________6. Marital status: [ ] Never married [ ] Separated [ ] Divorced [ ] Married for _______ years [ ] Widowed in _______7. If married, please give the following information: Spouses name: ____________________________________ Spouses occupation:__________________________________ Spouses employer: _________________________________ Number of years employed in this job:____________________ Spouses job description:_________________________________________________________________________________8. List each childs (a) age, (b) occupation, or (c) school: ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________9. List any hobbies, spare time activities, or outside interests:_____________________________________________________________________________ ___________________________________________________________________________________________________________________________10. Have you ever lived outside the Southeastern United States? [ ] Yes [ ] No If yes, where and when?_____________________________________ __________________________________________________________________________________________________________________________ 11. Last year of school completed: [ ] Elementary/Grade School [ ] Junior High School [ ] High School [ ] Junior College [ ] Vocational or Trade School [ ] Undergraduate Degree [ ] Graduate Degree Major area of study:_____________________________________ If currently attending school, name and location of institution:_________________________________________________________________________12. Do you read a newspaper? [ ] Yes [ ] No If yes, which newspaper(s)?____________________________________________________________13. List the magazines and periodicals you read regularly:_______________________________________________________________________________ __________________________________________________________________________________________________________________________14. What T.V. programs do you watch regularly?______________________________________________________________________________________ __________________________________________________________________________________________________________________________15. How many times a week do you watch the T.V. news?_______________________________________________________________________________16. From what other sources do you get news?________________________________________________________________________________________17. What radio programs do you listen to?____________________________________________________________________________________________ __________________________________________________________________________________________________________________________18. Are there any bumper stickers on the car you or your spouse drive? [ ] Yes [ ] No If yes, what do they say?______________________________________________________________________________________________________<<<<<<<<<********>>>>>>>>>>>>> 219. Do you attend church, synagogue, or other religious services once a month or more? [ ] Yes [ ] No If yes, name of the church, synagogue, or religious service:____________________________________________________________________________20. Please list any social, political, professional, civic, victim, or civil liberties/rights organizations of wh
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