|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Martin O'Malley, Governor Ch. 13
|
|
|
|
|
|
|
|
|
|
U.S. Citizen?_Yes _No
Able to comprehend, read, speak, and write English?_Yes _No
[Education:___] highest level of education completed:
_high school_college_graduate school_other
Occupation of prospective juror:_
Name of employer:_
Occupation of spouse, if any:_
Disability preventing satisfactory jury service? Yes _No
do you want an accommodation under the federal americans
with disabilities act? yes _no
Pending charge for a crime punishable by imprisonment exceeding 6 months?
_Yes _No
Conviction of crime punishable by imprisonment exceeding 6 months and
received a sentence of imprisonment for more than 6 months and not legally
pardoned? _____ Yes _No
Date of Conviction_
_Elected official of the federal Legislative Branch, as defined in 2 U.S.C. §
30a.
_Active duty member of armed forces exempted in accordance with 10
U.S.C. § 982.
_ Member of Maryland's organized militia exempted in accordance with
Public Safety Article § 13-218.
Prior jury service within 3 preceding years:_
Form completed by me_Another (name)_and, if another, why?
Under the penalties of perjury, the responses are true to the best of my
knowledge
Signed:__
|
|
|
|
|
|
|
|
|
|
- 727 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
