SUPERIOR COURT OF CALIFORNIA
COUNTY OF SANTA CLARA
Elizabeth Strickland, ADR Administrator
191 North First Street
San José, California 95113
Fax: 408-882-2595
APPLICATION FOR JUDICIAL ARBITRATORS
(Do Not Alter this Form in Any Way. Do Not Attach Additional Pages)
Name:
State Bar Number:
Address:
County:
Phone Number:
Fax Number:
Email Address:
1. Describe your education, including degrees and the dates received.
2. How many years have you been in active civil litigation practice as a member of the California State Bar?
Are you currently in active practice? Yes No
3. What percentage of your practice has been representing plaintiffs
defendants ?
4. How many of the following have you completed in the past five years?:
Jury trials
Court trials Judicial arbitrations
5. Describe the subject matter of up to five of the completed jury trials enumerated above, with the dates.
6. Are you a retired judge?
Yes No Date of retirement:
7. Check the boxes that describe your experience, with percentages, and indicate whether you would be
willing to hear cases in each subject area:
Business (Commercial - Contract) % Yes No
Labor - Employment % Yes No
Legal Malpractice % Yes No
Medical Malpractice % Yes No
Personal Injury % Yes No
Probate % Yes No
Real Estate % Yes No
Other (Specify): % Yes No
CV-5007 REV 7/01/08 APPLICATION FOR JUDICIAL ARBITRATORS Page 1 of 2
