4. Do you understand that all twelve members of the jury so selected would have to find
and vote for your guilt before you could be adjudicated guilty, that is, their verdict for your
conviction would have to be unanimous?__________________
5. Do you understand that in a non-jury or bench trial before a judge, the judge would sit as
a trier of fact, just as a jury does, bound by the same rules of evidence and therefore it would be the
judge rather that a jury who would decide whether you are guilty or not guilty from the evidence
presented in court?__________________
6. Do you understand that in a jury trial as in a non-jury trial before a judge, you would enter
the courtroom clothed with the presumption of innocence and that presumption would remain with
you until such time, if ever, that the jury should find you guilty?___________
7. Have you discussed with your attorney your intention to waive your constitutional right to
a trial by jury and proceed in what we call a non-jury or bench trial before a judge only, who will
decide your guilt or innocence from the evidence presented?_________________
8. Knowing all of this and having discussed your rights with your attorney, it is the Court’s un-
derstanding that you voluntarily wish to waive your constitutional right to a jury trial and proceed
to trial before a judge without a jury, is that correct?_______________
9. Do you completely understand these proceedings today? _______________
10. Have you ever had any physical or mental illness that would disturb your thinking in
any way whatsoever here today or affect the voluntariness of your waiver of rights to
a jury trial?_________________
11. Are you completely satisfied with the representation and legal advice of your
attorney?____________________
Initials _____________________