Application For Volunteer Civil Settlement Attorney printable pdf download

Application For Volunteer Civil Settlement Attorney

U P E R I O R

O U R T O F

A L I F O R N I A

OUNTY OF

ACRAMENTO

APPLICATION FOR VOLUNTEER CIVIL SETTLEMENT ATTORNEY

CIVIL SETTLEMENT CONFERENCE (Dept. 59)

Type or legibly print your answers. If a question is not applicable, indicate this by writing N/A.

Applicants must initial each page of the application as indicated on the bottom of the page. Attach

additional pages as necessary.

NAME: _________________________________________________________________________

ADDRESS: ______________________________________________________________________

TELEPHONE NUMBER: ___________________________________________________________

FAX: ___________________________

Email: _____________________________________

STATE BAR NUMBER: ____________

ADMISSION DATE: __________________________

EDUCATION:

College, university and law school attended, degrees, and dates:

_____________________________

________________________

_______________

_____________________________

________________________

_______________

_____________________________

________________________

_______________

Are you a certified specialist in any area of law? Yes ____ No ____. If yes, state the area of

law:

__________________________________________________________________________

VOLUNTEER CIVIL SETTLEMENT ATTORNEY

APPLICANT’S INITIALS _________

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Application For Volunteer Civil Settlement Attorney