Mock Juror Application

Your Name *

Enter you name

Your Age *

Enter your age, must be at least 18

Ethnicity *

State your ethnicity

Highest Level of Education *

Select the highest level of education achieved

Occupation *

State your occupation

Street Address *

Enter you street address, ie: 123 Main St.

City *

Enter City

Select state (IN, IL or MI) *

Select state of residency either Indiana, Illinois or Michigan. We only take cases from these three states.

Phone *

Enter phone number with area code

Email *

Enter valid email address