Application to Serve as Temporary Judge SUPERIOR COURT OF CALIFORNIA COUNTY OF SONOMA Please return completed Application to: Donald G. Lewin, Court Operations Manager 600 Administration Drive, Rm. 107-J Santa Rosa, CA 95403 1. Contact Information a. c. Name: _______________________________________ b. California State Bar number: Business address: ____________________________________________________________________________ City: ____________________________________________________ State: ____________ Zip: ________ Mailing address (if different): ________________________________________________________________ E-mail: _____________________________________________________ State: ____________ Zip: ________ Telephones: Daytime: ______________ Evening: _____________ Fax: ______________ Cell (optional): ______________ d. e. 2. Areas of Interest a. I am willing to serve as a court-appointed temporary judge in the following types of cases (describe): _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ b. I am available to serve at the following times: Morning Afternoon Evening Days: Monday Tuesday Wednesday Thursday Friday Saturday Assignments on short notice Other (describe): _________________________________________________________________________ c. I am willing to serve at the following court locations: All court locations. The following locations only: ________________________________________________________________ d. I am not available to serve as follows (describe and explain): ___________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 3. Professional and Personal Qualifications a. Date of admission to the State Bar of California: ________________ Years of active membership: _____________ b. I am also admitted to practice law in the states listed below: State: __________ Date admitted: __________ Bar No: ________________ Years of active membership: _______ State: __________ Date admitted: __________ Bar No: ________________ Years of active membership: _______ CV-33 [Rev. 7/01/11] Form Adopted for Mandatory Use APPLICATION TO SERVE AS TEMPORARY JUDGE Page 1 of 5 Cal. Rules of Court, rule 6.744 American LegalNet, Inc. www.FormsWorkFlow.com State Bar Number: Your name: _________________________________________________ 3. Professional and Personal Qualifications (continued) c. Are you in good standing in each state where you are licensed to practice law? Yes No (If no, provide an explanation in Attachment 3c.) d. I am certified as a specialist by the State Bar of California Board of Legal Specialization or by an organization whose certification program has been accredited by the State Bar of California. Areas of specialization: ____________________________________________________________________ ________________________________________________________________________________________ e. I am certified as a legal specialist by other states or organizations as follows (specify): __________________ ________________________________________________________________________________________ Areas of specialization: ____________________________________________________________________ ________________________________________________________________________________________ f. Have you ever been disciplined by the State Bar of California or by a bar association or other professional licensing entity in any state or by a court of record, including being sanctioned or held in contempt? Yes No g. Do you have any disciplinary action pending against you by the State Bar of California or by a bar association or other professional licensing agency in any state or by a court of record, including any proceeding for the imposition of sanctions or for contempt? Yes No h. Have you ever been convicted or pleaded no contest to a felony or misdemeanor? Yes No i. Are you a defendant in any pending felony or misdemeanor proceeding? Yes No j. Have you ever been a party to any legal proceeding? Yes No (If you answered yes to questions 3f, g, h, i, or j, provide additional information in an Attachment.) 4. Practical Experience a. The principal portion of my law practice in California is in the following courts (specify state and federal courts, including trial and appellate courts, if applicable):__________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ b. I currently practice in the following areas of law (list each subject area of law that occupies at least 10 percent of your time): _________________________________________ ____________________________________________ _________________________________________ ____________________________________________ c. Do you hold yourself out publicly as representing exclusively one side in any area of litigation practice? Yes No (If yes, provide the following information): Area of Practice _________________________________________ _________________________________________ Side Represented ____________________________________________ ____________________________________________ d. Do you represent one side in more than 90 percent of your cases in any area of litigation practice? Yes No (If yes, provide the following information): Area of Practice _________________________________________ _________________________________________ Side Represented ____________________________________________ ____________________________________________ CV-33 [Rev. 7/01/11] Form Adopted for Mandatory Use APPLICATION TO SERVE AS TEMPORARY JUDGE Page 2 of 5 Cal. Rules of Court, rule 6.744 American LegalNet, Inc. www.FormsWorkFlow.com State Bar Number: Your name: _________________________________________________ 5. Experience as a Temporary Judge a. Have you ever previously served as a temporary judge? Yes No (If yes, describe in Attachment 5a your prior service, including the names of the courts and the locations where you served, t