SUPERIOR COURT OF CALIFORNIA IN AND FOR THE COUNTY OF SHASTA JUVENILE COURT CERTIFICATION OF ATTORNEY COMPETENCY I, ___________________________________________________________________________________, Name Office Address Telephone Number am an attorney licensed to practice in the State of California. My State Bar Number is ____________________. I hereby certify that I meet the minimum standards for practice before a Juvenile Court set forth in the California Rules of Court, Rule 5.660, and Local Rule 16.05 and that I have completed the minimum requirements for training, education and/or experience as set forth below. Training and Education: (Attach copies of MCLE certificates or other documentation of attendance) Course Title Date Completed Hours Provider _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Summary of Juvenile Dependency Experience: Dated: ___________________ (Effective, January 1, 2003) _______________________________________________________ _____________________________________________________________________________________ _ Form Approved for Mandatory Use Shasta County Superior Court LF-JUV-101[rev July 1, 2012] CERTIFICATION OF ATTORNEY COMPETENCY Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com