Mock Jury Consent Form
Please complete this form to participate in the mock jury study. Your information will be kept confidential.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Highest Level of Education Completed
*
Please Select
High School or Equivalent
Some College
Associate Degree
Bachelor’s Degree
Graduate Degree
Other
Occupation
*
Have you previously served on a jury (real or mock)?
*
Yes
No
Please indicate your general availability for participation (select all that apply):
*
Weekdays (Daytime)
Weekdays (Evening)
Weekends
Other
Please share any special needs, accommodations, or comments (optional)
Signature (please sign below to confirm your consent)
*
Submit Consent
Submit Consent
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