Mock Juror ApplicationPlease enable JavaScript in your browser to complete this form.Your Name *Enter you nameYour Age *Enter your age, must be at least 18Ethnicity *State your ethnicityHighest Level of Education *High schoolCollege (associate's degree)College (bachelor's degree)Post GraduateSelect the highest level of education achievedOccupation *State your occupationStreet Address *Enter you street address, ie: 123 Main St.City *Enter CitySelect state (IN, IL or MI) *IndianaIllinoisMichiganSelect state of residency either Indiana, Illinois or Michigan. We only take cases from these three states.Phone *Enter phone number with area codeEmail *Enter valid email addressWebsiteSubmit