Statement Of Qualifications And Expression Of Interest Form - State Of Hawaii Department Of The Attorney General

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DEPARTMENT OF THE ATTORNEY GENERAL
STATE OF HAWAII
425 QUEEN STREET
HONOLULU, HAWAII 96813
STATEMENT OF QUALIFICATIONS AND EXPRESSION OF INTEREST
FISCAL YEAR COMMENCING JULY 1, 2017
Please answer all questions. Omission of an item may preclude you from being considered.
Use additional sheets if necessary. If you wish to provide additional information related to your
qualifications, please attach it.
1.
GENERAL INFORMATION
OTHER NAMES USED
LAST NAME
FIRST
MIDDLE
BUSINESS ADDRESS
TELEPHONE NO.
FACSIMILE NO.
(
)
(
)
CITY
STATE
ZIP CODE
E-MAIL ADDRESS
LAW FIRM AFFILIATION(S) (from date of admission or 1992, whichever is later)
2.
NAME AND LOCATION (CITY, STATE) OF LAW FIRM
FROM
TO
PRESENT
3.
LEGAL EDUCATION
NAME OF LAW SCHOOL
LOCATION (CITY, STATE)
DEGREE
RECEIVED
4.
JURISDICTIONS ADMITTED TO PRACTICE (Active Only)
JURISDICTION
DATE ADMITTED
Page 1
SDAG Statement of Qualifications and Expression of Interest

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