On Monday, November 25, 2024 from 4:00pm–7:00pm we will be holding an in-person focus
group in midtown Kansas City (location to be provided upon selection). Payment will be $75 dollars for your time and food will be provided. Must be a resident of Missouri, Clay County residents preferred.
All backgrounds are encouraged to apply. More details will be emailed
to you if you are chosen. To apply, you must complete the following questions in full. We will
contact participants by Monday, November 21st to advise if chosen. Applications without complete
answers will not be considered.
Full Name:
Cell Phone:
Home Phone:
Number you can be reached at between 9am and 5pm:
Gender:
Age:
Race:
Political Affiliation (Democrat, Republican, or other):
E-Mail Address:
City you live in:
Marital Status:
Children?
Highest grade in school:
Place of Birth (city/state):
U.S. citizen?
Ever served in the armed forces of the U.S?
Current employer & how long employed?
Position or Title:
Self-employed?
If yes, name of company and type of business:
Location of employer (city/state):
Total family income? $0–$40K, $41K–$75K, $75K–$100K, $100K+
Do you own your own vehicle?
Make/model/year:
Do you rent/own home?
Ever been a party to a lawsuit, other than divorce?
If yes, what kind of lawsuit?
Ever served on a jury?
Ever been part of a focus group?
