COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. COMMERCIAL DIVISION Calendar No. : SUPREME COURT, NEW YORK COUNTY Plaintiff(s) : JUDICIAL SUBPOENA ALTERNATIVE DISPUTE RESOLUTION PROGRAM -against: Neutral Application Form : The Commercial Division Alternative Dispute Resolution: Program provides mediation in cases referred to the Program by Justices of the court or submitted by parties on consent. Those who wish to Defendant(s) : become .neutrals .must .(i). .have. . . . . . . years. .of . experience. as .a .practitioner of commercial law or, for . . . . . . . . . . . . . . . . . . seven . . . . . . . . . . . . . . . . . . accountants or business professionals, an equivalent level of experience; and (ii) have undergone at least 24 hours of training in commercial mediation or general mediation techniques in a course designed for prospective mediators and presented by a reputable institution. Training in arbitration does not suffice. THE PEOPLE OF THE STATE OF NEW YORK From time to time, the Division sponsors a commercial mediation course. Persons who lack the required training may apply to become neutrals. The Division will retain the application on file until the next TO training course sponsored by the Division, which the applicant, if otherwise qualified, may be able to attend, space permitting. Applicants undertake to serve as a mediator in two-three matters per year on a pro bono basis. GREETINGS: Each applicant is requested to provide the information called for below, attaching additional sheets if needed. In lieu of completing this form, the applicant may submit a resume and covering letter provided WE COMMAND YOU, called business and excuses that these supply all the information that all for by this form. being laid aside, you and each of you attend before , the Honorable at the Court located at County of Basic Information in room , on the day of , 20 , at o'clock in the noon, and at any recessed 1. Please provide name, firm name and address, phone and fax numbers and e-mail address, if any. or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Admissions Witness, Honorable , 2. Please list the year of your admission to the New York Bar and the names one of the Justices of the or of any other jurisdictions Court in County, day of , admission. courts where you are admitted to practice and the year of 20 (Attorney must sign above and type name below) Attorney(s) for Education Office and P.O. Address 3. Please list the following information about your undergraduate, graduate, and legal education: institution, degree received, and year of degree. Undergraduate: Telephone No.: Facsimile No.: ______________________________________________________ E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Graduate: ______________________________________________________ : Calendar No. Law School: : ______________________________________________________ JUDICIAL SUBPOENA Plaintiff(s) -against- : Professional Background and Experience : 4. Please summarize your professional background and experience. With respect to the firm or : organization for which you currently work and those for which you previously worked, please list your Defendant(s) position, the years of employment there and a summary of the type: of work performed, including areas of ...................................................... specialization. THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Relevant Publications/Presentations Office and P.O. Address 5. Please list relevant publications written by you and presentations given by you. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : ADR Experience : 6. Please list all training programs in mediation for prospective mediators that you have attended, : including a description of the program (e.g., basic mediation training, commercial mediation training)), Defendant(s) the number of hours of each course, and the entity that presented the program. Please state whether you : ...................................................... have been certified as a mediator and provide details. If you are currently serving as a mediator, please identify the court or organization where you serve. If possible, please provide a reasonable estimate of the number of mediations for which you have served as mediator and the number in which you represented THE a party. PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure much for taking the time to complete this form and for your interest in our ADR Thank you very to comply. Program. Witness, Honorable Court in County, , one of the Justices of the day of , 20 COMMERCIAL DIVISION ALTERNATIVE DISPUTE RESOLUTION PROGRAM Supreme Court, New York County (Attorney must sign above and type name below) 60 Centre Street, Room 148 New York, New York 10007 212-748-5303for Attorney(s) 10/24/02 Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com