Sonoma — Application to Serve as Temporary Judge Renewal

Source: https://sonoma.courts.ca.gov/system/files/forms-and-filings/cv-33renewal.pdf

Renewal Application to Serve as Temporary Judge

SUPERIOR COURT OF CALIFORNIA COUNTY OF SONOMA

Please return completed application to: Temporary Judge Administrator 3055 Cleveland Avenue Santa Rosa, CA 95403 tjadministrator@sonomacourt.org

1. Applicant’s Contact Information:

Name ____________________________________
Address ____________________________________
____________________________________
Telephone ____________________________________
E-mail ____________________________________

2. Mandatory Training:

I completed the mandatory temporary judge training as required under Cal. Rules of Court, rule 2.813, including
training on bench conduct, ethics, and the substantive area of appointment. (Please attach proof of training)

3. Professional Qualifications:

California State Bar No. ______________ Active Inactive
Date of admission to CA State Bar: _________________
Are you presently in good standing with the CA State Bar? Yes No
Date(s) of previous service as temporary judge in Sonoma Co.:
___________________________________________________

(If applicable) Date of admission to and name of other state(s)
licensed: __________________________________________
(If applicable) Are you presently in good standing with the
other jurisdiction(s) listed above? Yes No

If you respond “Yes” to any of the following, please provide additional detail on a separate sheet of paper

Have you been disciplined by the California State Bar, the bar
association or other professional licensing entity in any state, or
by a court of record (including imposition of sanctions or being
held in contempt of court)? Yes No

Are you currently subject to disciplinary proceedings by the State
Bar, the bar association, or other professional licensing entity in
any state, or by a court of record (including imposition of
sanctions or being held in contempt of court)? Yes No

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RENEWAL APPLICATION TO SERVE AS TEMPORARY JUDGE

State Bar Number: Your name: ___________________________________

Have you been convicted of or pleaded no contest to a felony or
misdemeanor? Yes No

Are you a defendant in a pending felony or misdemeanor case? Yes No

As an attorney appointed to serve as a temporary judge, you have
a continuing duty to disclose any material changes in facts or
circumstances that affect your ability to serve as a temporary judge.
Are you aware of any such material changes? Yes No

I understand and acknowledge that the selection and appointment of a temporary judge is solely at the discretion of the Court for the purpose of assisting the public and does not constitute an employment relationship.

I declare under penalty of perjury under the laws of the State of California that the foregoing, including statements made in all attachments, is true and correct. I understand that any misstatement or omission of material fact may disqualify me from serving as a temporary judge.

Date:

____________________________________ ____________________________________SIGN (Print or Type Name) (Signature)

WAIVER AND AUTHORIZATION FOR RELEASE OF INFORMATION

I have applied to be appointed as a temporary judge in the Superior Court of California, County of Sonoma.

I hereby authorize the State Bar of California and the attorney-licensing authority in any other state where I am admitted to practice law to release to an authorized representative of the court information regarding the following matters: (1) whether I am in good standing or am otherwise authorized to practice law as a member of the State Bar of California or as an attorney in any other state where I am admitted to practice law; (2) whether I have a record of discipline with the State Bar of California or with the licensing authority for attorneys in any other state where I am admitted to practice law; and (3) whether any disciplinary investigation or proceeding is pending against me by the State Bar of California or by the licensing authority for attorneys in any other state where I am admitted to practice law.

Date:

____________________________________ ____________________________________SIGN (Print or Type Name) (Signature)

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RENEWAL APPLICATION TO SERVE AS TEMPORARY JUDGE