Fillable Form 1.: Application to Serve as Temporary Judge (California)

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Form 1.: Application to Serve as Temporary Judge (California)

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Application to Serve as Temporary Judge
SUPERIOR COURT OF CALIFORNIA
COUNTY OF FRESNO
Please return completed Application to
:
Fran Raley
1100 Van Ness Avenue
Fresno, Ca 93724
1.
Contact Information
a. Name: _______________________________________ b. California State Bar number:
c. Business address: ____________________________________________________________________________
City: ____________________________________________________ State: ____________ Zip: ________
Mailing address (if different): ________________________________________________________________
d. E-mail: _____________________________________________________ State: ____________ Zip: ________
e. Telephones:
Daytime: ______________ Evening: _____________ Fax: ______________ Cell (optional): ______________
2.
Areas of Interest
a. I am willing to serve as a court-appointed temporary judge in the following types of cases (describe):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
b. I am available to serve at the following times:
Morning Afternoon Evening
Days: Monday Tuesday Wednesday Thursday Friday
Saturday
Assignments on short notice
Other (describe): _________________________________________________________________________
c. I am willing to serve at the following court locations:
All court locations.
The following locations only: ________________________________________________________________
d. I am not available to serve as follows (describe and explain): ___________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3.
Professional and Personal Qualifications
a. Date of admission to the State Bar of California: ________________ Years of active membership: _____________
b. I am also admitted to practice law in the states listed below:
State: __________ Date admitted: __________ Bar No: ________________ Years of active membership: _______
State: __________ Date admitted: __________ Bar No: ________________ Years of active membership: _______
Page 1 of 5
Administrative Office of the Courts Cal. Rules of Court, rule 6.744
[New July 1, 2006]
www.courtinfo.ca.gov
APPLICATION TO SERVE AS TEMPORARY JUDGE
Your name: _________________________________________________
3.
Professional and Personal Qualifications
(continued)
c. Are you in good standing in each state where you are licensed to practice law? Yes No
(If no, provide an explanation in Attachment 3c.)
d. I am certified as a specialist by the State Bar of California Board of Legal Specialization or by an
organization whose certification program has been accredited by the State Bar of California.
Areas of specialization: ____________________________________________________________________
________________________________________________________________________________________
e. I am certified as a legal specialist by other states or organizations as follows (specify): __________________
________________________________________________________________________________________
Areas of specialization: ____________________________________________________________________
________________________________________________________________________________________
f. Have you ever been disciplined by the State Bar of California or by a bar association or other professional licensing
entity in any state or by a court of record, including being sanctioned or held in contempt?
Yes No
g. Do you have any disciplinary action pending against you by the State Bar of California or by a bar association or
other professional licensing agency in any state or by a court of record, including any proceeding for the imposition
of sanctions or for contempt? Yes No
h. Have you ever been convicted or pleaded no contest to a felony or misdemeanor? Yes No
i. Are you a defendant in any pending felony or misdemeanor proceeding? Yes No
j. Have you ever been a party to any legal proceeding? Yes No
(If you answered yes to questions 3f, g, h, i, or j, provide additional information in an Attachment.)
4.
Practical Experience
a. The principal portion of my law practice in California is in the following courts (specify state and federal courts,
including trial and appellate courts, if applicable):__________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
b. I currently practice in the following areas of law (list each subject area of law that occupies at least 10 percent of
your time):
_________________________________________ ____________________________________________
_________________________________________ ____________________________________________
c. Do you hold yourself out publicly as representing exclusively one side in any area of litigation practice?
Yes No (If yes, provide the following information):
Area of Practice Side Represented
_________________________________________ ____________________________________________
_________________________________________ ____________________________________________
d. Do you represent one side in more than 90 percent of your cases in any area of litigation practice?
Yes No (If yes, provide the following information):
Area of Practice Side Represented
_________________________________________ ____________________________________________
[New July 1, 2006]
Page 2 of 5
State Bar Number:
APPLICATION TO SERVE AS TEMPORARY JUDGE
Your name: _________________________________________________
5.
Experience as a Temporary Judge
a. Have you ever previously served as a temporary judge? Yes No
(If yes, describe in Attachment 5a your prior service, including the names of the courts and the locations where
you served, the approximate number and types of matters heard, and the approximate dates of service.)
b. Have you ever been removed by a court as temporary judge? Yes No
(If yes, describe the circumstances in Attachment 5b, including the court, the date you were removed, and the
reasons for your removal.)
6.
Training
Describe any training that you have received that qualifies you (under California Rules of Court, rules
243.13–243.14) to serve as a court-appointed temporary judge, including the subjects, the dates, and the name of the
court or other provider of the training:
a. Bench conduct (describe):____________________________________________________________________
______________________________________________________________________________________________
b. Ethics (describe): ___________________________________________________________________________
______________________________________________________________________________________________
c. Small claims (describe): _____________________________________________________________________
______________________________________________________________________________________________
d. Traffic (describe): __________________________________________________________________________
______________________________________________________________________________________________
e. Other (describe): ___________________________________________________________________________
______________________________________________________________________________________________
Continued on Attachment 6.
7.
Additional Information
Please respond to the following, if applicable:
a. 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.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Continued in Attachment 7a.
b. I ask the court to consider the following additional facts in support of my appointment:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Continued in Attachment 7b.
[New July 1, 2006]
Page 3 of 5
State Bar Number:
APPLICATION TO SERVE AS TEMPORARY JUDGE
Your name: _________________________________________________
8.
Contact Persons
It may be necessary to contact you regarding matters on which you have been involved as a temporary judge. Please
list two individuals who will always know your whereabouts.
a. Name: _____________________________________________________________________________________
First Last
Business address: ____________________________________________________________________________
Street City State Zip
Business Telephone no.: (______)__________________ E-mail address: _______________________________
b. Name: _____________________________________________________________________________________
First Last
Business address: ____________________________________________________________________________
Street City State Zip
Business Telephone no.: (______)__________________ E-mail address: _______________________________
9.
References
List two or more judicial officers who are familiar with your work:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
10. I understand and acknowledge that the selection and appointment of a temporary judge is solely at the discretion of
the court for the purpose of assisting the public and does not constitute an employment relationship.
11. I am aware of and will comply with all provisions of the Code of Judicial Ethics and the California Rules of Court
concerning temporary judges.
I declare under penalty of perjury under the laws of the State of California that the foregoing, including statements made
in all attachments, is true and correct. I understand that any misstatement or omission of material fact may disqualify me
from serving as a temporary judge in this court.
Date:
_____________________________________________
____________________________________________
(TYPE OF PRINT NAME OF APPLICANT) (SIGNATURE OF APPLICANT)
(This application is not complete unless the Waiver and Authorization for Release of Information on the next page is signed
by the applicant.)
[New July 1, 2006]
Page 4 of 5
State Bar Number:
APPLICATION TO SERVE AS TEMPORARY JUDGE
Application to Serve as Temporary Judge
WAIVER AND AUTHORIZATION FOR RELEASE OF INFORMATION
I have applied to be appointed as a temporary judge in the Superior Court of California, County of __________________.
I hereby authorize the State Bar of California and the attorney-licensing authority in any other state where I am admitted
to practice law to release to an authorized representative of the court information regarding the following matters:
(1) whether I am in good standing or am otherwise authorized to practice law as a member of the State Bar of California
or as an attorney in any other state where I am admitted to practice law; (2) whether I have a record of discipline with the
State Bar of California or with the licensing authority for attorneys in any other state where I am admitted to practice law;
and (3) whether any disciplinary investigation or proceeding is pending against me by the State Bar of California or by the
licensing authority for attorneys in any other state where I am admitted to practice law.
Date:
____________________________________________
__________________________________________
(TYPE OF PRINT NAME OF APPLICANT) (SIGNATURE OF APPLICANT)
____________________________________________
(CALIFORNIA BAR NUMBER OF APPLICANT)
Page 5 of 5
[New July 1, 2006] Cal. Rules of Court, rule 6.744
www.courtinfo.ca.gov
APPLICATION TO SERVE AS TEMPORARY JUDGE
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Form 1.: Application to Serve as Temporary Judge (California)

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Completed 14 March 2022

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