Focus KC - Kansas City Metro Juror/Participant Application Form

Applicants for Focus KC focus groups and studies should fill out this form as accurately as possible.

This helps us to best match you with our clients based on a variety of different factors.

Please do not submit multiple entries.

First Name

Last Name

Street Address

City

County (Johnson,Jackson. etc)

State

Zip

Phone

Gender

Age

Place of Birth

Your Ethnicity Origin (Or Race)

Marital Status?

Race or Ethnicity

Are You Regiestered to Vote?

Political Affiliation?

Ever Convicted of a Felony?

Highest Level Of Education?

Served in the Military?

Occupation

Are you Currently Employed?

Do you have children?

Do you consider yourself open minded?

Have you ever served on a civil jury before?

Have you ever served on a criminal jury before?

Have you ever served on a mock jury or legal focus group before?

Have you ever sued someone or been sued?

Are you willing to sign a confidentiality agreement?

If you are chosen as a juror, do you understand that unless you stay through the entire trial, you will NOT be compensated for your time?

By submitting this application and if chosen to serve as a mock juror with Advanced Resolution Management, I agree to be videotaped and sign a confidentiality agreement barring me from disclosing any case information to anyone outside of Focus KC

I have read and agree with the above statement

1609 W. 92nd Street KC MO 64114

816-444-4000

Focus KC - Kansas City Metro Juror/Participant Application Form

Thank you for your patience and participation. We will be contacting you if you are picked to serve.