Temporary Judge Application

1. Applicant's Contact Information

Title

First

Middle

Last

Business Address

City/Town

ZIP/Postal Code

Telephone

Cell Phone

Email

2. Professional Qualifications

California State Bar Number

Are you active in the California State Bar?

Yes

No

Date of Admission to the State Bar of California

Number of Years of Active Membership

Are you in good standing with the California State Bar?

Yes

No

I am certified as a specialist by the State Bar of California Board of Legal Specialization or an organization accredited by the State Bar of California.

Areas of Specialization

I have been admitted to practice law on the date indicated in each state listed below, and have the number of years of membership shown:

Jurisdiction	Date Admitted	Number of Member Years	Operations
Jurisdiction	Date Admitted	Number of Member Years

Additional States

I am in good standing as an attorney in all other states in which I am admitted.

I am certified as a legal specialist by other states or organizations as follows:

Please Specify Your Qualifications

Areas of Specialization as Legal Specialist

Required questions regarding disciplinary actions:

3. Practice and Experience

My law practice in California takes place in the following counties:

My litigation practice takes place in the following state or federal courts:

I have appeared in this court how many times approximately in the last 12 months.

My major area or areas of practice are:

I represent one side in 90% of the cases, or hold myself out publicly as representing exclusively one side, in the following areas of litigation practice:

Area of Practice	Side Represented	Operations
Area of Practice	Side Represented

Required questions concerning serving previously as a Temporary Judge:

I have previously served in this court as a temporary judge.

I have

I have not

I have served in other California courts as a temporary judge.

I have

I have not

I have been removed by a court as a temporary judge.

I have

I have not

If you answered positively ("I have") to any of the three above, please describe your prior service, identify the specific courts served, the approximate dates of your service for each court, the numbers and types of matters heard, and the circumstances of removal, if any.

If you need to provide more information that cannot be entered below, please email the information to TJP@scscourt.org.

4. Additional Information

If applicable, please respond to the following questions.

(Send an email to TJP@scscourt.org if you need to supply additional information.)

Describe your experiences as an Alternative Dispute Resolution (“ADR”) neutral:

The following facts concerning my background, situation or circumstances may positively or negatively reflect on me or on my suitability for appointment, and should be disclosed to the court:

The following limitations may affect my capability to serve as a temporary judge, e.g., physical limitations or subject matter restrictions, and may require accommodations. (Note: you will be completing a separate form providing availability and scheduling constraints.):

Please specify any languages other than English you speak well enough to communicate effectively with litigants:

If you are applying to serve as a Settlement Attorney, please list any other particular skills, training, interests, areas of expertise, or preferences you believe may assist you in serving as a Settlement Attorney – please be sure to list any other ADR panels on which you serve (whether with this court or another) and any ADR specific training you may have had:

5. Training

(Email certificates of completion for all courses attended to TJP@scscourt.org.)

Within the last three years, I have completed or will complete within 30 days the following training that satisfies the requirements of California Rules of Court, CRC 2.812 and CRC 2.813.

3 hours of training on bench conduct, demeanor, decorum, access, fairness, elimination of bias, and adjudicating cases involving self-represented parties.

3 hours of training in judicial ethics.

5 hours of training in the substantive areas for small claims cases.

3 hours of training in the substantive areas for traffic cases.

3 hours of training in substantive areas for civil, probate, or family.

Other Training:

I am applying to serve as a:

Select

Temporary Judge

Settlement Attorney

Both

You need

Letter of Reference

In order for my application to be considered, I will submit two letters of reference to the Temporary Judge Administrator (TJP@scscourt.org), under separate submission.

Statement of Economic Interest

Pursuant to the Fair Political Practices Commission’s (FPPC) Statement of Economic Interest – Form 700 , I understand that if I serve more than 30 days or more in a calendar year I will be required to complete a Form 700 and file it with the FPPC .

More

Go to: Statement of Economic Interest – Form 700

Application Is True and Correct

I declare under penalty of perjury under the laws of the State of California that the foregoing, including statements made in all emails sent to the court regarding this application, is true and correct. I understand that any misstatement or omission of material fact may disqualify me from serving as a temporary judge and/or settlement attorney.

1. Applicant's Contact Information

2. Professional Qualifications

Law Practice locations/dates

Legal Specialist Qualifications

Required questions regarding disciplinary actions:

3. Practice and Experience

Required questions concerning serving previously as a Temporary Judge:

4. Additional Information

5. Training

I am applying to serve as a: