Exit Grand Jury Application 2024 Question Title * 1. Please provide the following. Name (first and last): Street Address (no P.O. Box): City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Desired Contact Phone Number: Question Title * 2. Please provide the following Date of Birth Driver's License Number Question Title * 3. I am a US Citizen and at least 18 years old Yes No Question Title * 4. I will have been a resident of Napa County for at least one year by July 1, 2024 Yes No Question Title * 5. I am in possession of my natural faculties, of ordinary intelligence, of sound judgment, and fair character. Yes No Question Title * 6. I understand the spoken and written English language. Yes No Question Title * 7. I am presently serving on a trial jury. Yes No Question Title * 8. I have been discharged as a grand juror within the past year. Yes No Question Title * 9. I have been convicted of malfeasance in office or a felony. Yes No Question Title * 10. I am serving as an elected public official. Yes No Question Title * 11. Please summarize your educational history: Question Title * 12. Please summarize your employment history (if retired, please provide pre-retirement employment history): Question Title * 13. Please identify your spouse/significant other’s employer: Question Title * 14. Please summarize your community service history: Question Title * 15. Have you ever held public office or been employed by any city, county, or public agency? Yes No If yes, please provide all positions held Question Title * 16. Are you related to any city, county, or state public official holding office? Yes No If yes, please list name and positions held Question Title * 17. Have you ever sued a public agency? Yes No If yes, please provide details Question Title * 18. Do you currently have plans to be absent from Napa County for longer than four continuous weeks between July 2024, and June 30, 2025? Yes No If yes, please provide details Question Title * 19. Do you have transportation to attend meetings of the grand jury? Yes No Question Title * 20. Have you ever applied for the Napa County Grand Jury? Yes No If yes, please provide details Question Title * 21. Please provide the reason(s) why you wish to serve on the Napa County Grand Jury: Question Title * 22. Do you possess computer skills? Yes No Question Title * 23. Do you know how to use a word processing program? Yes No Question Title * 24. Do you regularly use e-mail? Yes No Question Title * 25. Do you have experience with: Research Investigation Interviewing Program Evaluation Fiscal Matters Legal Matters Please describe areas of experience in more detail: Question Title * 26. Do you have any other expertise you feel may be useful to the grand jury? Question Title * 27. If selected as a member of the grand jury, are you willing to devote a minimum of 10 to 20 hours per week? Yes No Question Title * 28. Grand jury investigation, tours, and interviews are generally conducted during business hours. If you are selected as a grand juror and are currently employed, will your employer allow you the necessary time off? Yes No Question Title * 29. The Conflict of Interest Code of the county of Napa requires all members of the grand jury to file a Statement of Economic Interests (Form 700) which is intended to disclose financial interests that may create conflicts of interest. These are not confidential. Are you willing to submit such a statement? Yes No Question Title * 30. How did you hear about the grand jury? Newspaper Radio Received letter in the mail Referred by friend/acquaintance Water bill insert NRWS bill insert Social Media Other (please specify) Question Title * 31. I understand that I may be considered for membership on the Napa County Grand Jury for 12 months beginning July 2024. I will be available for jury service for the number of hours required of me by the foreperson. The number of hours varies from month to month and from year to year, depending on the amount of work the grand jury decides to assume. (Penal Code section 896)I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Please enter date Date Question Title * 32. If called for an interview, you will be required to provide your signature Next