Application for Candidate for Supreme Court Justice (07/2019) Page 1 of 17
APPLICATION FOR CANDIDATE FOR SUPREME COURT JUSTICE
Date of application: ______________________________________________________________________
Position applied for: ______________________________________________________________________
NOTE TO APPLICANT: Please submit ONE cover page that includes your Social Security Number, for the
purpose of performing a criminal background check.
GENERAL
1. Name: ___________________________________________________________________________
2. Mailing address: ___________________________________________________________________
Business address: __________________________________________________________________
Email address: _____________________________________________________________________
3. Date of birth: ______________________________________________________________________
4a. Are you a Vermont resident (see 4 V.S.A. § 602(c)(1))? Yes No
4b. Town of primary residence: ___________________________________________________________
5. Telephone nos. Home: _______________ Business: _______________ Cell: _________________
6a. Years practicing law in the State of Vermont (minimum 10 years per (4 V.S.A. § 602(c)(1)):________
6b. Have you practiced law in Vermont for a least five years immediately preceding this application (see 4
V.S.A. § 602(c)(1))? Yes No
6c. If the answer to b. above is NO, are you seeking an exception to the fiver-year requirement in (4 V.S.A. §
602(c)(1))? If so, please explain the basis for seeking this exception. Note: The Board may make
exceptions to the five-year requirement for absences from practice for reasons including family, military,
academic, or medical leave.
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EDUCATION
7. List colleges and law schools, dates attended, and degrees or credits received:
8. Academic honors at the college or law school level, if any:
9. If you clerked for admission to the bar instead of attending law school, please state the dates and for
whom you clerked.
PROFESSIONAL ADMISSIONS
10a. List all courts (including state bar admissions) and administrative bodies having special admission
requirements in which you are presently admitted or have previously been admitted to practice, giving
the date of admission in each case.
10b. Has your license to practice in any jurisdiction been suspended, revoked, or limited at any time. If so,
please provide the date(s) and circumstances that led to such action.
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EMPLOYMENT HISTORY
11. Please list below, or include an attached resume or curriculum vitae that lists all legal jobs you have held
since being admitted to the bar, including name and location of the employing or contracting entity(ies),
dates of employment, and title(s).
12. Please list below, or include an attached resume or curriculum vitae that lists the name and location of
employing or contracting entity(ies), dates of employment, and title(s) held for any other full-time
employment since graduation.
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LEGAL EMPLOYMENT AND EXPERIENCE
13. Please describe your professional experience in each of the following legal arenas: family, civil, criminal,
probate, juvenile, municipal, environmental or other. Include a description of any legal specialties you
possess.
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14. During the past ten years what percentage of your work experience has involved litigation, including
motions, hearings, appellate arguments, administrative hearings, trials, and other contested hearings?
Please briefly describe the role you played in the litigation.
15. During the past ten years what percentage of your work experience has involved each of the following:
a. family matters _______________%
b. juvenile matters _______________%
c. civil matters _______________%
d. criminal matters _______________%
e. probate _______________%
f. administrative _______________%
g. municipal _______________%
h. environmental _______________%
i. other _______________%
16. Please estimate how many evidentiary hearings, including trials, you have participated in and briefly
describe your role(s).
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17. Estimate the percentage of your total court time spent in each of the above courts over the last ten
years.
a. criminal _______________%
b. family _______________%
c. civil _______________%
d. probate _______________%
e. federal trial _______________%
f. federal appellate _______________%
g. Vermont Supreme Court _______________%
h. administrative body _______________%
i. environmental court _______________%
j. other court _______________%
18. Please describe your professional experience in each of the following areas:
a. academics, including teaching, presentations, seminars
b. management, including business, law firm, human relations, or other
c. mediation, arbitration, or other dispute resolution
d. writing, including articles, journals, books, etc.
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19. If not otherwise described above, please describe why you have sufficient trial or other comparable
experience that ensures knowledge of the Vermont Rules of Evidence and courtroom procedure.
JUDICIAL EXPERIENCE
20. Have you ever held judicial office? If so, please state your position, the name of the court(s) and dates of
your service.
21. Have you ever served as an Acting Judge or Acting Magistrate in the Vermont court system? If so, please
state the courts to which you have been assigned, approximate dates and the approximate number of
assignments you have had.
22. Have you ever served as an arbitrator, hearing officer, administrative law judge, or other administrative
decision maker? If so, please describe the service and the approximate number of assignments you have
had.
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23. Please state any quasi-judicial boards or commissions on which you have served, including the name(s)
of the agency(ies) for which you served, the position(s) held, the issues under your jurisdiction, and the
dates of such service.
24. Calculating all of your judicial or quasi-judicial experience, approximately how many times have you:
a. prepared a written decision on a contested matter _______________
b. issued an oral decision on a contested matter _______________
c. handled motions or other contested proceedings _______________
d. conducted an evidentiary hearing or proceeding _______________
PUBLICATIONS
25. If you have published any books or articles not identified in response to previous questions, please list
them, giving titles, citations, and dates.
PROFESSIONAL, CIVIL AND PUBLIC SERVICE
26. If you have experience as a member of any administrative, legislative, judicial, or regulatory boards,
commissions, study committees, or agencies, or any private, corporate or non-profit boards, please list
them, giving names and dates served.
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27. If you have served as an appointed or elected official in any local, county, state, or federal government
position, please provide details and dates.
28. Please list all Bar associations and professional societies of which you are a member, give the titles and
dates of any office which you may have held in such groups, and identify committees in which you were
active.
29. List any honors, prizes or awards you have received, including the name of the award, the organization
granting it, and the date of the award.
30. Please list all other non-profit, community service, or other organizations, of which you have been a
board member during the past ten years, including the titles and dates of any offices which you have
held in each such organization, and/or any other significant volunteer experience.
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POTENTIAL CONFLICTS
31. Do you have any plans, commitments, or agreements to pursue outside employment, with or without
compensation, during your service to the Court? If so, please explain.
32. Do you have any personal or professional relationship(s) which might present conflicts of interest in the
position you are seeking? If so, please explain.
33. Identify the categories of litigation and financial arrangements that are most likely to present potential
conflicts of interest if you are appointed to the position for which you are applying. Include any deferred
income arrangements, stock options, uncompleted contracts, and other future benefits which you
expect to derive from current or prior professional relationships.
34. Explain how you will resolve any potential conflict of interest including those identified in questions 32
and 33 above.
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MISCELLANEOUS
35. Have you ever been convicted by federal, state or other law enforcement authorities for a violation of
any federal law, state law, or county or municipal law, regulation or ordinance? If so, please give details.
Do not include traffic violations, unless it also included a jail sentence.
Please be advised that the Judicial Nominating Board conducts a criminal background check on every
applicant.
36. Have you ever had a civil judgment against you? If so, please provide details about the case and its
disposition. Please also state whether you have ever defaulted on a judgment and under what
circumstances.
37. Have you or your professional liability insurance carrier ever settled a claim against you for professional
malpractice? If so, please give particulars, including the amounts paid.
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38. Have you ever been disciplined for a breach of ethics or unprofessional conduct by any court,
administrative agency, bar association, professional group, or Professional Conduct or Responsibility
Board in any jurisdiction? If so, please provide details.
39. Are all your taxes paid? (federal, state and local) current (i.e., filed and paid) as of the date of this
application? If not, are you on an approved payment plan?
40. Has a tax lien or other collection procedure (including receipt of balance due notices) ever been
instituted against you by any federal, state, or local tax authority? If so, please explain and describe the
outcome.
41. Have you ever been the subject of any audit or investigation for federal, state or local taxes? If so, give
full details.
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42. Have you ever declared bankruptcy? If so, give details.
JUDICIAL OFFICE QUESTIONS
43. Why do you want to hold the judicial position for which you are applying?
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44. Please describe a legal case or experience that has a special significance in shaping you as a lawyer, as a
person, or both, and explain why.
45. Please describe a personal experience that you believe will influence your ability to serve as a successful
justice and explain why?
46. Please describe your experiences working with diverse populations.
47. What do you see as the primary issues facing the judiciary today? What would you propose to address
or resolve the issues you’ve identified?
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48. Please describe any administrative and managerial experience that would make you a successful
Supreme Court justice.
49. Reflecting on your career to date, which individual has had the most profound impact on your work and
why?
50. What makes you well qualified to hold the position you are seeking?
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51. Please attach a representative writing sample appropriate for the position for which you are applying.
(Maximum of 10 pages.)
52a. In the space below, please explain why you selected this writing sample.
53. List the names, addresses, e-mail addresses, and phone numbers of four references. Please include at
least two professional adversaries. Please describe how each named reference knows you.
Please be advised that Judicial Nominating Board rules permit Board members to contact non-references
for additional information about applicants.
Reference 1
Reference 2
Reference 3
Reference 4
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AFFIDAVIT
_____________________________________, being first duly sworn, deposes and says that all of the
information I have provided in this Application is true.
____________________________________
Signature of Candidate
STATE OF VERMONT COUNTY, SS
At ___________________, in said County, _______________________________ personally appeared
and subscribed and swore to the truth of the above before me this ___________ day of
_________________, 201_____.
______________________________________
Notary Public
My commission expires: __________________
WAIVER
I hereby waive my right to privacy as it relates to the Judicial Nominating Board for any information I
have provided herein, including the right of the Board to freely communicate with any names listed on
my reference sheet with the understanding that any information will be held in confidence by the
Board. I also understand and agree that if my name is forwarded to the Governor’s office it will be
accompanied by this full application.
Dated: ____________________ ____________________________________
Signature of Candidate