Grand Jury

General Information

When this application is completed and submitted to the San Bernardino County Superior Court, it will constitute your consent to be considered for nomination as a prospective member of the San Bernardino County Civil Grand Jury. Personal information provided on this form will assist Judges of the San Bernardino County Superior Court in compiling a list of nominees that represents a cross-section of the County. Information provided on this application is kept confidential. Please answer all questions.

Calendar Year

First Name

Last Name

Middle Name

Maiden Name

Residence Address

Address

City

State

Zip

Mailing Address (if different than above):

Address

City

State

Zip

Primary Phone Number

Alternate Phone Number

DOB

SSN

County Supervisorial District

How did you hear about us?

If you were referred by a Grand Juror, Job Fair, Newspaper, Seminar/Presentation, and/or County Department, please provide more detailed information here.

Are you related to or closely associated with any elected official(s) or public employee(s) within San Bernardino County? Click on the box below to switch between YES and NO

If yes, please give name and explain relationship:

Upon completion of this page, click Save. A pop-up window titled Save Application &
Privacy Information will appear, click OK. You may then continue to the next page.

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