Your name is required. Name	Your phone number is required. Phone Number
Your address is required. Business Address	Your e-mail address is required. E-mail
Year you were admitted to Bar is required. Year Admitted to CA Bar	Your bar number is required. CA State Bar Number

 

1. Please specify the type(s) of proceedings for which you would like to serve as a Settlement Attorney:

Civil Mandatory Settlement Conferences	Family Mandatory Settlement Conferences
Probate Mandatory Settlement Conferences	Family Settlement Officer Conferences
Unlawful Detainer Settlement Conferences

 

2. If you are 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 of California, please specify that certification:

 

3. Describe your experiences as an Alternative Dispute Resolution (“ADR”) neutral:

 

4. Please specify any languages other than English you speak well enough to communicate effectively with litigants:

 

5. Please list any other particular skills, training, interests, areas of expertise, or preferences you believe will assist you in serving as a Settlement Attorney – please be sure to list any other ADR panels on which you serve (whether with this court or another) and any ADR specific training you may have had:

 

6. I have:

a. Observed at least one settlement proceeding for which I expect to serve as Settlement Attorney.    Yes    No

 

b. Attended at least 1.5 hours of training on local rules, bias, fairness, conflicts, and distinctions between divisions.   Yes    No

7. Are you in good standing in each state in which you are licensed to practice law?    Yes    No

 

8. 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

If your answer was yes, please provide additional information:

 

9. 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

If your answer was yes, please provide additional information:

 

10. Please indicate your areas of expertise:

CIVIL SUBJECT MATTER EXPERTISE

Subject Matter	Yes	Subject Matter	Yes
Breach of Contract		Legal Malpractice
Collections		Lemon Law
Construction Defect		Medical/Dental Malpractice
Eminent Domain		Partnership/Corporate Governance
Employment		Personal Injury: Auto
Environmental		Personal Injury: Other
Fraud		Product Liability
Insurance Coverage		Professional Negligence
Landlord/Tenant		Real Estate

Other (please specify):

FAMILY SUBJECT MATTER EXPERTISE

Subject Matter	Yes	Subject Matter	Yes
Child Custody & Visitation		Property Division
Paternity		QDROs
Domestic Violence		Same Sex Unions
Support

Other (please specify):

PROBATE SUBJECT MATTER EXPERTISE

Subject Matter	Yes	Subject Matter	Yes
Conservatorships		Guardianships
Decedent’s Estates		Trust Matters
Elder Abuse

Other (please specify):

 

11. Please list any additional information you would like to share about your application to serve as a Settlement Attorney: