1.	Judge Name *
(as you wish it to appear in print)

2.	Title: Judge  Justice	Other
		(please specify)

3.	Complete Court Name *
		(include specific district, division, etc. if applicable)

4.	Initial Term Information:
	Appointed by   Date Elected  Date Date You First Took Office
	Subsequent Term(s) Reappointed by  Date(s) Elected   Date(s) Reelected   Date(s) Retention Election   Date(s)   Date Current Term Expires

5.	Office Information:
	For protection of your privacy, please do not include home address:
	P.O. Box
	(box number, city, state and zip code)
	Office address
	(building name, suite number, street address, city, state and zip code)
	Office telephone number   ()  Office facsimile number   ()
	E-mail address

6.	Personal Background:
	Birthplace Date

7.	Religious Affiliation:

8.	Education:
		(school name)		(type)
	Undergraduate		Degree		Honors		Year
	Graduate		Degree		Honors		Year
	Legal		Degree		Honors		Year
	Graduate-Legal		Degree		Honors		Year

9.	Law Review:
	Position
	From to

10.	Law Clerkship:
	(judge's name and court served)
	From to

11.	Legal and Honorary Fraternities and Societies:

12.	First Admitted to Practice: State Year
	Subsequent State and Federal Court Admissions (please specify circuit or district if applicable)
	Year
	Year
	Year

13.	Locations (cities) of private legal practice:
	From to
	From to

14.	Previous Judgeships:
	(title and court name)
		From	to
		From	to

15.	Legal Positions: (District Attorney, County Attorney, Corporate Counsel, etc.)
	(title and district, organization, etc.)
	From to
	From to

16.	Legal Authorships:
	(title and/or publication name and publisher)
	Year
	Year
	Year

17.	Important JUDICIAL Decisions and Opinions:
	(case name, brief description and citation)
	Year
	Year
	Year
	Year

18.	Legal Teaching Positions (University and College Level):
	(title, topic and school name)
	From to
	From to

19.	Memberships in Legal, Judicial and Bar Associations:
	(please provide dates for committees and offices)

20.	Legal and Judicial Conferences, Seminars and CLE:
	(attended or instructed, name of course, sponsoring institution and date)

21.	Honors and Awards:
	(civic and professional; title, sponsor and date)

22.	Military Service:
	(rank, branch of the military and dates)

23.	Political Affiliation and Activities (including Political or Public Offices):
	(please include dates with committees and offices)

24.	Social and Civic Activities:

25.	Hobbies and Interests:

26.	Comments or Additional Information:

27.	Personal Statement or Quote:
	(share a favorite quotation or philosophy; give advice to attorneys who practice in your courtroom)

28.	Sender's Information:
	Name *
	E-mail Address *

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