Fillable Office of Governor Kay Ivey Judicial Appointment Questionnaire (State of Alabama)

Fill Online, Printable, Fillable, Blank Office of Governor Kay Ivey Judicial Appointment Questionnaire (State of Alabama) Form

Use Fill to complete blank online STATE OF ALABAMA (AL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Office of Governor Kay Ivey Judicial Appointment Questionnaire (State of Alabama)

On average this form takes 22 minutes to complete

The Office of Governor Kay Ivey Judicial Appointment Questionnaire (State of Alabama) form is 17 pages long and contains:

  • 0 signatures
  • 40 check-boxes
  • 68 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Alabama

BROWSE STATE OF ALABAMA (AL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Office of Governor Kay Ivey
Judicial Appointment Questionnaire
Thank you for your interest in being considered for a judicial appointment by Governor Kay
Ivey.
For your application to be considered for review, you must sign the last page and submit your
questionnaire along with your resume using one of the following methods below.
Email your application to:
Appointments@governor.alabama.gov
You may submit your application by mail to the following address:
Governor Kay Ivey
Attn: Nathan Lindsay
600 Dexter Avenue
Montgomery, Alabama 36130
The Appointments Office will contact you if additional information is required. Please bear in
mind that Governor Ivey may be statutorily required to select judicial appointees from a local
nominating committee. The Governor’s Appointments Office makes every effort to ensure that
judicial appointments are inclusive and reflective of the racial, gender, geographic, urban/rural
and economic diversity of the state.
If you are appointed to a judicial vacancy, you will be notified by phone and receive the hard
copy of your appointment letter in the mail within five business days of your appointment.
CONFIDENTIALITY DISCLAIMER: All materials submitted to the Governor’s Office as
part of an appointment application could be considered public records disclosable to the
public upon request. Information may be considered confidential, however, in certain
limited circumstances—e.g., if its disclosure would result in undue harm or embarrassment
to an individual. If you believe this application calls for the submission of any information
that requires confidentiality, please contact our office prior to submission.
Personal Information:
Salutation:
Legal Name:
Home Address:
Work Address:
Daytime Phone Number:
Evening Phone Number:
//Date of Birth: ________________ ________
Last 4 Digits of your Social Security Number:
Are you a United States citizen? Yes No
Country of Birth:
Email Address:
Sex: M F
Ethnicity (Optional):
Date of Admission to the State Bar:
Court/Office Sought:
Professional Data
List all federal or state courts in which you have been admitted to practice.
Court Admission Date
Currently in good
standing?
Y N
Y N
Y N
Y N
1. Describe your legal education, including honors.
2. Provide your employment history after your law school graduation, including
any judicial clerkships. Include the entity’s name, your area of practice, and
your length of practice with the specific entity.
3. Describe, in detail, your areas of legal practice.
4. What percentage of your litigation experience was in?
% Federal District Court
% Federal Appellate Courts
% State Circuit Courts
% State District Courts
% State Appellate Courts
% Administrative Hearings
% Arbitration
5. What percentage of your litigation experience was in?
% Domestic Relations
% Civil
% Criminal
% Personal Injury (plaintiff)
% Personal Injury (defendant)
% Other
6. Have you personally worked on a lawsuit filed against the State of Alabama?
Y N
If yes, please describe in detail the role in which you played during that litigation.
7. List any gubernatorial appointments you have received.
8. List any other gubernatorial appointments you previously sought but did not
receive.
9. Are you currently a registered lobbyist or have you previously been a registered
lobbyist?
Y N
If yes, please explain your lobbying work and dates of employment.
10. Have you ever been arrested or charged by federal, state, or other law
enforcement authorities for violation of any federal law, state law, county or
municipal law or ordinance?
Y N
If yes, please explain (Please do not include traffic violations):
11. Has a tax lien ever been filed against you or your spouse?
Y N
If yes, please explain in detail:
12. Have you filed for bankruptcy?
Y N
If yes, please explain in detail and include the year(s) in which you filed.
13. Have you ever been sued by a client?
Y N
If yes, please explain:
14. Have you ever been disciplined or cited for a breach of ethics or for unprofessional
conduct by a court, bar association, or agency?
Y N
If yes, please explain:
15. Please list any experience you feel may be helpful for the position in which you are
seeking.
16. Is there anything on your social media or public record that would embarrass the
Office of the Governor were you to be appointed?
Y N
If yes, please explain:
17. Are you current on all Supreme Court licensing fees, State Bar dues and/or lawyer
occupation taxes?
Y N
18. Please list all current and past organizations of which you are a member.
19. Have you failed any bar exams in any state?
Y N
If yes, please list the state:
20. Have you practiced law in any state other than Alabama?
Y N
If yes, please list which state(s) and the expertise area:
21. Have you ever been the subject of any investigation or proceeding involving your
conduct?
Y N
If yes, please explain in detail:
22. Within the last five years, have you ever been treated for or had any problem or
condition associated with consumption of alcoholic beverages or any form of drug
addiction?
Y N
If yes, please explain:
23. Do you suffer from a mental or physical illness that would impair your ability to
perform the duties of your office if appointed?
Y N
References:
Legal Name:
Phone Number:
Affiliation:
Legal Name:
Phone Number:
Affiliation:
Legal Name:
Phone Number:
Affiliation:
I hereby certify that the information given above is accurate. I understand that if I give
false information I may be disqualified for appointment.
Date: ___________
Print Name:
Signature:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Office of Governor Kay Ivey Judicial Appointment Questionnaire (State of Alabama)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 29 May 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document