Form Jv-140 - Application To The Juvenile Court Department For Appointment As Guardian Ad Item Page 3

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APPLICATION TO THE JUVENILE COURT DEPARTMENT
FOR APPONTMENT AS GUARDIAN AD LITEM
Name:
Guardian Ad Litem - Treatment Monitor qualifications: An attorney who is a member in good standing of
the Massachusetts Bar with three (3) years experience in child welfare protective cases or with three (3) years
experience representing adults in extraordinary medical care matters.
I certify that:
I am an attorney and member in good standing of the Massachusetts Bar
with,
Check all that apply:
three (3) years experience in child welfare protective cases.
three (3) years experience representing adults in extraordinary medical care matters.
Guardian Ad Litem - Education Surrogate qualifications: An individual who is not employed by an agency
involved in the care or education of his/her assigned student, who does not have personal or professional interests
that conflict with the assigned student's interest and who has or is willing to obtain adequate knowledge in special
education and IEP process or an attorney who is a member in good standing of the Massachusetts Bar with three
(3) years experience representing the interest of children in education matters.
I certify that
:
(check all that apply)
I have
or
I am willing to obtain adequate knowledge in special education and IEP process.
I am an attorney and member in good standing of the Massachusetts Bar with three (3) years experience
representing the interests of children in educational matters.
Guardian Ad Litem - Legal Rights/Privilege
and/or
Guardian Ad Litem - Legal Rights/Claims
Qualifications: An attorney who is a member in good standing of the Massachusetts Bar with three (3) years
experience in child welfare protective cases.
I certify that:
I am an attorney and member in good standing of the Massachusetts Bar with three (3) years experience in
child welfare protective cases.
Guardian Ad Litem - Legal Rights/Advisor qualifications: An attorney who is a member in good standing
of the Massachusetts Bar with three (3) years experience in child welfare protective cases or with three (3) years
experience in delinquency and/or youthful offender cases.
I certify that:
I am an attorney and member in good standing of the Massachusetts Bar
with,
Check all that apply:
three (3) years experience in child welfare protective cases.
three (3) years experience in delinquency and/or youthful offender cases.
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