Attorney Information - Cmba Guardian Ad Litem Project (Page 2 of 2) in pdf

Have you ever been arrested, indicted, or charged with any offense in any action that involved an abused,

neglected, or dependent child, a violation of ORC 2919.25, or any sexually oriented offense? ________________

If yes, please identify the case numbers for each case and explain the charges. ____________________________

___________________________________________________________________________________________

Have you ever been named as a respondent in an action for a civil protection order or charged with domestic

violence in any court? ________ If so, please identify the case numbers for each action or charge.

___________________________________________________________________________________________

Has a referral ever been made to any children’s services agency alleging that you abused or neglected a child? If

so, please identify the allegations made in each referral and whether the allegations were substantiated,

unsubstantiated, indicated, and state any other findings made. _________________________________________

___________________________________________________________________________________________

Other than as a GAL, are you presently or have you been a party in a civil law suit in the past 5 years? If so,

please provide the case number(s) and a summary of the action(s) ______________________________________

___________________________________________________________________________________________

Statement of Interest

I am interested in accepting appointments in the following types of GAL cases:

_____

General GAL assignment list.

_____

GAL emergency custody case assignment list. I understand that EC hearings are heard on an

expedited docket.

_____

Please do not add my name to the GAL list at this time. I will notify you when I wish to receive

GAL assignments.

1 , 2

_____

Judicial Bypass case GAL assignment list

1 , 2

_____

Mediation case GAL assignment list

_____

Family Drug Court GAL assignment list. I understand that if I accept appointments as GAL for children

in Family Drug Court that I will be co-counseling cases with all other GALs in Family Drug Court and

1 , 2

that I cannot accept assigned counsel appointments in Family Drug Court cases

Requires initial full day GAL training and two one-half day advanced trainings in each subsequent year.

Requires a special advanced training before appointment.

Please note: GALs are responsible for notifying the GAL Project in writing when they have achieved their maximum number of GAL

cases. Similarly, when a GAL wishes to resume the assignment rotation, the GAL must notify the Project Administrator in writing.

The Project Administrator will notify the assignment clerk of all changes. Failure to abide by this notification procedure could result

in the GAL being assigned to more cases than she/he can handle, and necessitate the filing of a Motion to Withdraw by the GAL. Until

the motion is granted and the Entry journalized, the GAL is responsible for all GAL casework in the matter. If the GAL cannot

continue to represent a ward in any case, the GAL must file a Motion to Withdraw on each case in accordance with Rule 1.16 of the

Ohio Rules of Professional Conduct and pertinent case law.

**P lease attach copies of your O hio Suprem e C ourt R egistration card for the current biennium , your m alpractice insurance declarations page, an d

results of the C entral R egistry search.

The C entral R egistry Procedures and Request Form are attached to this A ttorney Information and

Revised 5/09

Statement of Interest form.**

Attorney Information - Cmba Guardian Ad Litem Project Page 2

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