PANEL 2 JUROR QUALIFICATION QUESTIONNAIRE FOR JULY 31, 2023

 Jury Commissioner – David Thurman          

Bonner County Courthouse

215 S. First Ave           Sandpoint, ID 83864

24 Hour Juror Information Line: (208) 265-1477           Jury Commissioner’s Office: (208) 265-1443              Fax: (208) 265-1475

Email: jury@bonnercountyid.gov                    Jury Service Website:  www.bonnercountyid.gov/jury-service

This number is listed on Page 1 of the letter you received from the Jury Commissioner

You have been chosen as a Juror in a case that will be proceeding to trial. In this case, the Defendant, is charged with certain crimes. The jury selected will decide whether the Defendant is not guilty or guilty of these charges. You are required to complete this special questionnaire and submit or return it to the Bonner County Jury Commissioner within 10 days of the postmark date.:


INSTRUCTIONS:

YOU ARE UNDER OATH AND MUST ANSWER ALL QUESTIONS TRUTHFULLY.:

PART I - JURY COMMISSIONER USE ONLY BELOW THIS SECTION:
Last, First, Middle name
Please list Address, City, State, Zip Code
Please list if your Mailing Address is different from your Physical Address(please list Address, City, State and Zip Code)
Please list a good contact number to reach you at. Please indicate the type of phone (Cell, Home, and/or Work)

PLEASE SELECT ANY DISQUALIFICATIONS THAT APPLY TO YOU FOR QUESTIONS 7 - 15b. (There are NO automatic exemptions from jury service):
Note: Please submit a copy of non-citizenship(i.e..,Green Card, Visa, Passport). Attachments may also be submitted via email to jury@bonnercountyid.gov or via fax to (208) 265-1475.
Please ensure you list your current address for Question 2 above.
Note: If you checked the box to the question above, please obtain a Physician's Certificate for Release from the Bonner County Jury Service website(www.bonnercountyid.gov/jury-service) and provide to your doctor. Physician's Certificates must be returned within 10 days of submission of this questionnaire, otherwise you may be deemed as a QUALIFIED juror and required to report to the Bonner County Courthouse for jury service. You will then have to explain your situation to the presiding Judge. The presiding Judge will make final determination whether you will be excused or required to serve on the jury trial. Forms may also be requested by mail or your doctor may obtain the form from the Bonner County Jury Service website. If you have a PERMANENT medical condition that affects your ability to serve as a juror, the form must be signed by a medical doctor(MD). PLEASE BE ADVISED THAT BONNER COUNTY OR JURY COMMISSIONER'S OFFICE ARE NOT RESPONSIBLE FOR ANY FEES THAT YOU INCUR BY YOUR DOCTOR FOR THE PROCESSING OF THIS FORM.
Please submit a copy of your current orders or a letter from your Commanding Officer. Documents may be submitted via fax to (208) 265-1475, or via email to jury@bonnercountyid.gov.

PART II - JUDGE AND ATTORNEY USE ONLY BELOW THIS SECTION:

SECTION I - FAMILY HISTORY:
Last, First, Middle
Last, First, Middle
Last, First, Middle
6b. If you selected Yes, please list below their age, sex, education, and occupation.

SECTION II - RESIDENCE INFORMATION:
Please list the City, State, County, and Number of Years of Residency
Please list the Name(s) and their Relationship to you below:

SECTION III - EDUCATION/OCCUPATIONAL INFORMATION:
(if self-employed in or outside of the home, please describe)
Please list Name and Type of Business, Location, and Number of Years below
a. Highest grade completed:
b. Degrees earned:
If you selected Yes, please describe:
If you selected Yes, please list When, Where, your Job Duties, and Highest Job Title Held below:
If you selected Yes, please list When, Where, Job Duties, Highest Rank Obtained, and Type of Discharge below:
If you selected Yes, please describe below:
If you selected Yes, please state location, job, and time the job began and ended:
If you selected Yes, please describe below:
If you selected Yes, please describe below:

SECTION IV - PERSONAL ATTITUDES AND ACTIVITIES:
What topics have you written about?
When was your most recent letter?
34b. What do you tend to watch?
37b. What do you use it for?
37c. What are your favorite sites?
40b. Please list which ones below:

SECTION V - PREVIOUS JURY EXPERIENCE:
If you selected Yes to the above question, please list when and where?
If you selected Yes to the above question, please list when and where?
If you selected Yes, please answer the questions below:
44b. Please list how many times below:
45b. If you selected Yes to the above question, please explain below:

SECTION VI - PRIOR EXPERIENCES WITH LAW ENFORCEMENT PERSONNEL
46b. If you selected Yes to the above question, please list their Name, Relationship to you, Law Enforcement Agency, and Years of Experience below:
47b. If you selected Yes to the above question, Please provide details regarding the source of your knowledge:
48b. If you selected Yes to the above question, please provide the names of the lawyers or judges you are acquainted with and what their area of practice is:

SECTION VII - EXPERIENCES WITH CRIMINAL JUSTICE SYSTEM
If you selected Yes to the above question, please describe each incident, including when, where, a description of the circumstances, and whether a report was made:
If you selected Yes to the above question, please describe, including when, where, and a description of the circumstances:
If you selected Yes to the above question, please describe each incident, including when, where, and a description of the circumstances:
If you selected Yes to the above question, please describe each incident, including when, where, a description of the circumstances, and the outcome of the case:
If you selected Yes to the above question, please describe below:

56. To what extent do you agree or disagree with the following statements::

SECTION VIII - PUNISHMENT OF CRIMINAL BEHAVIOR:

SECTION IX - PERSONAL TOPICS:

SECTION X - CONCLUDING QUESTIONS:
If you selected Yes to this question, please explain below:
62b. If you selected Yes to the above question, please explain below:
63b. If you selected Yes to the above question, please explain below in the Supplemental Responses section:

EXTRA SPACE FOR SUPPLEMENTAL RESPONSES: Please remember to note the number of the question you are answering.

YOU HAVE NOW COMPLETED PART II OF THIS QUESTIONNAIRE:

DECLARATION OF PROSPECTIVE JUROR: Any person who willfully misrepresents a material fact on a Juror Qualification Questionnaire for the purpose of avoiding, evading, or securing service as a juror is guilty of a misdemeanor. By signing this form, I attest that the above listed information is true to the best of my knowledge:
Please type your name in the box above

Once you have finished filling out this form, please click the Submit button below:


If you encounter any issues(i.e...Form Invalid) with the submission of this form, please contact the Jury Commissioner's Office by phone for assistance or you may save this file as a pdf and send to the Jury Commissioner via email to jury@bonnercountyid.gov.


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