Superior Court of California
County of Santa Clara
2021 Civil Grand Jury Application Last Name:
I, , understand that my name may be placed in nomination to be
considered for membership on the Civil Grand Jury of Santa Clara County for the Calendar Year 2021.
I understand that the term will be from January 4 to December 31, 2021.
I am aware that such service requires that I be in attendance at least 25 hours per week and frequently more.
In this regard, I understand that as a Grand Juror, I must be flexible and able to serve some evening and weekend
hours as well as working during normal business hours as determined by the 2021 Civil Grand Jury. I declare,
pursuant to Penal Code § 896(a), that I will be available to serve during those required hours.
Each member of the Grand Jury shall be allowed a per diem for each day’s attendance, either at general sessions
or committee assignments of the Grand Jury. Mileage expense (nontaxable) is also compensated each mile
actually and necessarily traveled for purposes of said sessions or committee work.
Now, therefore, I have read and understand the above and I hereby state that I have no commitments which
would prevent me from meeting the requirements for service on the Santa Clara County Civil Grand Jury.
I recognize that my attendance will be expected and may be required by the Foreperson of the Grand Jury.
I fully understand that the Civil Grand Jury staff will conduct a background check. Furthermore, I understand
that I must complete a Form 700.
I therefore request that I be considered as a candidate for the Civil Grand Jury of Santa Clara County for the
Calendar Year 2021.
Signature (Full Name) Date
employment (10 years or two
most recent jobs) and educational background information.
Please be sure to
and return this completed application to:
Britney J. Huelbig
Deputy Manager, Civil Grand Jury
Santa Clara County Superior Court
191 North First Street
San José, California 95113
Deadline to Apply: September 25, 2020
Web address: www.scscourt.org (Click on Civil Grand Jury)