Welcome to the Shrewsbury Mock Jury Focus Group registration website. If you are interested in providing your opinions and earning some additional money, you may be interested in joining us for one of our focus groups.

We are seeking Mock Jurors from all over Monmouth and Ocean County to participate in focus groups on real cases. You will be presented with facts about a case by an attorney, as if you are serving as a juror in a civil court case. You will then provide your opinions on the case. All of our focus groups take place in Shrewsbury, NJ in the evening (typically between 5:30pm and 8:30pm). You will be compensated $12.00 per hour. Pizza and soft drinks will be provided.

If you are interested in participating in one of our focus groups please complete the form below. We will contact you if you have been selected to be a participant. At the time we contact you we will provide you with additional information regarding the location, time, and date of the specific focus group you have been selected to participate in.


First Name
Last Name
Date of Birth - -
Age
Sex Male Female
Street Address Line 1:
Line 2:
City
State
Zip Code
Home Phone Number - -
Cell Phone Number - -
Preferred Contact Number Home Phone Cell Phone
Email Address

Are you a US Citizen? Yes No
Are you a registered voter? Yes No
Political Affiliation Democrat Republican
Independent No Party Other
Do you currently have a valid driver's license? Yes No
Relationship Status Married Divorced Single Separated Dating Someone Widowed
Living With Someone
Number of children
Occupation
(if currently unemployed or retired put last occupation)
Employer
(if currently unemployed or retired put last employer)
Employment Status Employed Full Time Unemployed
Employed Part TimeRetired
Highest level of education you have attained?
Degree (if applicable)
Religion
Ethnicity
Have you ever participated in a focus group? Yes No
Have you ever been involved in a lawsuit? Yes No
Have you ever been convicted of a felony? Yes No
Have you ever served on a jury? Yes No
Are you studying law? Yes No
Have you ever worked for a law firm? Yes No
Note: It is your responsibility to ensure the above form as been FULLY completed. We will disregard all incomplete submissions.


Confidentiality Statement:
"I promise to keep confidential the identity of the parties, the facts, and all other sensitive information presented in the mock jury focus group."

Digital Signature:
Please type your name in the box above.

Once you have reviewed the form for completeness and accuracy please click the button below.