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U N %I 0GOU:4  0c' 0c 0cfPNR^ Tw@` ma^fratfaf B\afafaf Caf-a/fCaE D3Yfafafafafafafaf&a(f<a>fRaTfhaj~ 0'Nf46a"<Vp &@ShZT T D3 B D3 BO D3l B D3 B D/  D3; B*n D3 B* C iBlank App/Nomination to ________ CourtDh:\depts\os\sp\jnc\jncapp.wpd / ' KCRUM0KCRUM .   \\qflabarp\OS8150NA,,,,0(hH  Z 6Times New Roman RegularX(n$X=XXX,  AZ"Arial Regularcheckbox.wcmr1 '-~3|x,checkbox.wcm(;3$ n!XiXXX  (;3$ n!XiXXX  (;3$ n!XiXXX  @z3c #$E%&E'(E)*E+,U  )X|XXX  _&,%XX| # #IT$1/97TABLE ATABLE BQTABLE C8  dTABLE DTABLE EhTABLE F8o dTABLE GPTABLE HPTABLE I'dxd(|TABLE JTABLE KTABLE LTABLE MTABLE NkTABLE OXTABLE P%TABLE QVTABLE RpTABLE S'TABLE Tcheckbox.wcm(O$checkbox.wcmcheckbox.wcmcheckbox.wcm  *X|XXX  _XX|@  'Page  1  TABLE Ucheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmcheckbox.wcmUVHeeee'dxd  dgggg'dxdP Pdiiii'dxd dkkkk'dxd dgg' dxdnnnn'dxd&0 d dpppp'dxd&P d ddd n!X|XXX  _hX  X XXX|E    _.*,,&XX*%.%XX *ddd Xdd Xdd XT$T$,, ,, , , ,, ,R ,% ,  ,w ,e , ,X , , , , , ,  +  .$ X ``.X X%%.APPLICATIONFORNOMINATIONTOTHE_________________________COURT#%.%XX # ND*`" ``  N4%%.(Pleaseattachadditionalpagesasneededtorespondfullytoquestions.)#%.%4# ND*"  ``NDATE: >-$ > 7- 7FloridaBarNo.: 7-$ 7 E;! ``  ``EGENERAL: @6$~& @ @6$~& @Soc.Sec.No.: :-$~&  : E;!~&  ``  ``E1.0  Name H7.  44 H 7-   7Email: >-$   > E;!  ``  `` E0  DateAdmittedtoPracticeinFlorida: H7. V  H E;! V ``  ``E2.0  Statetitlecurrentlyheld;includingprofessionalpositionandanypublicorjudicialoffice. YO4B O$O$ ``  ``Y 4*! ~  4 OE& ~  ``   ``O3.  Businessaddress: >-$j  > KA&j  ``    ``K =3!  =City >-$  > 3) 3State ;*! ; 3) 3ZIP 7&! 7 H># ``   ``H =3!:  =Telephone >-$:  > 3): 3FAX ;*!:  ; OE&:! ``   ``O4.  Residentialaddress: >-$&" > KA&&# ``    ``K =3!b$ =City >-$b% > 3)b& 3State ;*!b' ; 3)b( 3ZIP 7&!b) 7 H>#b* ``   ``H =3!N+  =Since >-$N,  > 7-N- 7Telephone >-$N. > OE&N/ ``   ``O5.0  Placeofbirth: H7.0   H KA&1 ``    ``K =3!v2 =Dateofbirth: >-$v3 > 3)v4 3Age ;*!v5 ; OE&v6 ``   ``  O6.0  LengthofresidenceinStateofFlorida H7. 7   H OE& 8 ``   ``O7.0  Maritalstatus H7.F9   H KA&F: ``    ``K =3!2; =Ifmarried: XN/2< ``   ``X @6$ n= @Spousesname 7-$ n> 7 OE& n? ``    ``O @6$Z" @ @Dateofmarriage :-$Z" A : OE&Z" B ``    ``O @6$#!C @Spousesoccupation >-$#!D > F<&#!E ``    `` F =3!%*#F  =Ifeverdivorcedgiveforeachmarriagename(s)ofspouse(s),currentaddressforeachformerspouse,dateandplaceofdivorce. OE*V&#H ``  `` O 4*!'%I  46,*'%J ``    6  )&J  _h*dd, ,, , , ,R R% %  w we e X X       T$T$,+ ,- , ,| ,H ,e , ,w , ,1 , ,w , , +  .$ X ``.8.0  Children TJ4`T$T$ ``  ``T =3!L =Name(s) @6$L" @Ages(s) @6$L" @Occupation(s) @6$L" @Residentialaddress(es) J@*L" ``  ``J 4*! 4 .$ . .$  . .$  . A7!  ``  ``A 4*!t  4 .$t  . .$t . .$t . A7!t ``  ``A 4*!  4 .$  . .$  . .$  . E;!  ``  ``E9.0  MilitaryService(includingReserves) TJ4 DT$T$ ``  ``T =3!0  =Service @6$0 " @Branch @6$0 " @HighestRank <2$0 " <Dates G='0 " ``  ``G 4*! l  4 .$ l  . .$ l  . *  l  * >4 l  ``  ``> 4*!X ! 4 .$X " . .$X # . * X $ * B8X % ``  ``B0  Rankattimeofdischarge A7.&   A 7-' 7Typeofdischarge 7-$( 7 E;!) ``  ``E0  Awardsorcitations YO4(*T$T$ ``  ``Y 4*!+ 4 J@&, ``    ``JHEALTH: ND*P- ``  ``N10.0  Areyoucurrentlyaddictedtoordependentupontheuseofnarcotics,drugs,orintoxicating D. beverages?Ifyes,statethedetails,includingthedate. ]S4/T$T$ ``  ``] 7-$T0 7 J@&T1 ``    ``J11a.0  Duringthelasttenyearshaveyoubeenhospitalizedorhaveyouconsultedaprofessionalor @2 haveyoureceivedtreatmentoradiagnosisfromaprofessionalforanyofthefollowing:Kleptomania,PathologicalorCompulsiveGambling,Pedophilia,ExhibitionismorVoyeurism? XN44T$T$ ``  ``X <2$|$5 <Yes 9/!|$6 94A e@O  5  6,@O,,  7, =3!|$7"  = <2$|$8"  <No 9/!|$9 @94? K@O  5  6.@O$.,  7R. =3!|$:"@ = ND*|$; ``  ``N @6$ < @Ifyouranswerisyes,pleasedirecteachsuchprofessional,hospitalandotherfacilitytofurnishtheChairpersonoftheCommissionanyinformationtheCommissionmayrequestwithrespecttoanysuchhospitalization,consultation,treatmentordiagnosis.["Professional"includesaPhysician,Psychiatrist,Psychologist,PsychotherapistorMentalHealthCounselor.]Pleasedescribesuchtreatmentordiagnosis. SI*4$!B ``   ``S 7-$%p#C 7 6,*%p#D ``     6*bdd+ +- - | |H He e w w 1 1 w w  T$T$b,, ,, ,  ,w , ,w , +  .$ X ``.11b.0  Inthepasttenyearshaveanyofthefollowingoccurredtoyouwhichwouldinterferewithyour ` abilitytoworkinacompetentandprofessionalmanner? S$S$ ff0  0S$S$Experiencingperiodsofnosleepfor2or3nights4S$S$ 0  0S$S$Experiencingperiodsofhyperactivity\S$S$ 0  0S$S$Spendingmoneyprofuselywithextremelypoorjudgment,S$S$ 0  0S$S$SufferedfromextremelossofappetiteTS$S$  0  0S$S$Issuingcheckswithoutsufficientfunds |S$S$ 0  0S$S$Defaultingonaloan  S$S$ 0  0S$S$Experiencingfrequentmoodswings$ S$S$ 0  0S$S$UncontrollabletirednessL S$S$ ff0  0S$S$Fallingasleepwithoutwarninginthemiddleofanactivity XN4t S$S$ ``  ``X <2$  <Yes 9/!  94Bg@O  5  69@O9  79 9/! " 9No 9/!   94C @O  5  6:@O:  7 ; 9/! " 9 KA'  ``  ``K0  Ifyes,pleaseexplain. YO4DS$S$ ``  ``Y 4*!0 4 J@&0 ``   ``J12a.0  Doyoucurrentlyhaveaphysicalormentalimpairmentwhichinanywaylimits,yourabilityor l fitnesstoproperlyexerciseyourdutiesasamemberoftheJudiciaryinacompetentandprofessionalmanner? XN4lS$S$ ``  ``X <2$ <Yes 9/! 94Gg@O  5  6>@O>  7> 9/!" 9No 9/!  94H @O  5  6?@O?  7 @ 9/!" 9 KA' ``  ``K12b.0  IfyouranswertothequestionaboveisYes,arethelimitationsorimpairmentscausedbyyour < physicalormentalhealthimpairmentreducedoramelioratedbecauseyoureceiveongoingtreatment(withorwithoutmedication)orparticipateinamonitoringorcounselingprogram? XN4<!S$S$ ``  ``X <2$x" <Yes 9/!x# 94Ig@O  5  6C@OC  7HC 9/!x$" 9No 9/!x%  94J @O  5  6#D@O7D  7 eD 9/!x&" 9 KA'x' ``  ``K0  0S$S$Describesuchproblemandanytreatmentorprogramofmonitoringorcounseling. ]S4d (S$S$ ``  `` ] 7-$)  76,** ``   6*d d, ,, ,  w w w w T$T$,X ,h , , , ,W +  .$ ,!* TT.13.0  Duringthelasttenyears,haveyoueverbeendeclaredlegallyincompetentorhaveyouoryour !(+ propertybeenplacedunderanyguardianship,conservatorshiporcommittee?Ifyes,givefulldetailsastocourt,dateandcircumstances. YO4(# -S$S$ TT  TTY 4*!$L". 4 J@&$L"/ TT   TTJ14.0  Duringthelasttenyears,haveyouunlawfullyusedcontrolledsubstances,narcoticdrugsor  � dangerousdrugsasdefinedbyFederalorStatelaws?Ifyouransweris"Yes,"explainindetail.(Unlawfuluseincludestheuseofoneormoredrugsand/ortheunlawfulpossessionordistributionofdrugs.ItdoesnotincludetheuseofdrugstakenundersupervisionofalicensedhealthcareprofessionalorotherusesauthorizedbyFederallawprovisions.) YO4p)'4S$S$ TT  TT Y 4*!*(5  4 J@&*(6 TT   TJ& ,  15.0  Inthepastyear,haveyoueverbeenreprimanded,demoted,disciplined,placedonprobation, T suspended,cautionedorterminatedbyanemployerasresultofyourallegedconsumptionof XN4(S$S$ T  X0  0DDalcohol,prescriptiondrugsorillegaluseofdrugs? M<.TDD M =3!T" =ЀIfso,pleasestatethe ND*T  TN0  0S$S$circumstancesunderwhichsuchactionwastaken,thename(s)ofanypersonswhotooksuchaction,andthebackgroundandresolutionofsuchaction.',L YO4S$S$ T  TTY 4*!( 4 J@&(  TT   TJ& , 16.0  Withinthelastfiveyears,haveyoueverbeenformallyreprimanded,demoted,disciplined, TJ4 S$S$ T  T0  0@$$$$ G=+ x  Gcautioned,placedonprobation,suspendedorterminatedbyanemployer? C2$ x  C 9/! x " 9ЀIfso, KA' x  TK0  0S$S$pleasestatethecircumstancesunderwhichsuchactionwastaken,thedate(s)suchactionwastaken,thename(s)ofanypersonswhotooksuchaction,andthebackgroundandresolutionofsuchaction.',Q YO4T S$S$ T  TT Y 4*! x   46,* x  TT   6*d dX Xh h   W WT$T$,X , , ,v , , ,V +  .$   `.& , 17.0  Haveanyofyourcurrentorformercoworkers,subordinates,supervisors,customersorclients X  everfiledaformalcomplaintoraccusationofmisconductagainstyouwithany XN4, T$T$ `  X0  0regulatoryorinvestigatoryagency,orwithyouremployer? M<. M 9/!" 9Ifso,pleasestatethe KA'  `K0  0T$T$date(s)ofsuchformalaccusation(s),andthespecificformalaccusation(s)made,andthebackgroundandresolutionofsuchaction(s).',XV YO4XT$T$ `  ``Y 4*!D 4 J@&D ``   `J& , 18.0  Haveyoueverrefusedtosubmittoatesttodeterminewhetheryouhadconsumedand/or XN4T$T$ `  X0  0wereundertheinfluenceofalcoholordrugs? M<.T M =3!T" =Ifso,pleasestatethedateyou ND*T   `N0  0T$T$wererequestedtosubmittosuchatest,typeoftestrequired,thenameoftheentityrequestingthatyousubmittothetest,theoutcomeofyourrefusalandthereasonwhyyourefusedtosubmittosuchatest.',Z YO40#T$T$ `  ``Y 4*!l$ 4 J@&l% ``   `J& | 19.0  Inthepastyear,haveyoufailedtomeetanydeadlineimposedbycourtorderorreceived X& noticethatyouhavenotcompliedwithsubstantiverequirementsofanybusinessor XN4,'T$T$ `  X0  0contractualarrangement? M<.( M =3!)" =Ifso,pleaseexplaininfull.'|X^ OE**  `O 4*!D+ 4 J@&D, `   ``J20.0  Inthepasttenyears,haveyousufferedmemorylossorimpairedjudgmentforanyreason? 0!- Ifso,pleaseexplaininfull. YO4".T$T$ ``  `` Y 4*!#@!/  46,*#@!0 ``   6* d dX X  v v  V VT$T$,X ,` ,v , , ,S , +  .$ $t"0 `.&  21.0  Areyoucurrentlythesubjectofaninvestigationwhichcouldresultincivil,administrativeor XN4,%"1S$S$ `  X0  0<<criminalactionagainstyou? Q@.<< Q @6$" @ЀIfyes,pleasestatethenatureoftheinvestigation, ND*  `N0  0S$S$theagencyconductingtheinvestigationandtheexpectedcompletiondateoftheinvestigation.',%d YO4&$5S$S$ `  TTY 4*!d( &6 4 J@&d( &7 TT   ``J22.0  Inthepasttenyears,haveyoubeensubjecttoorthreatenedwithevictionproceedings?Ifyes, )'8 pleaseexplain. YO4*h(9S$S$ ``  TT Y 4*!H,):  4 J@&H,); TT   ``J& p  EDUCATION: ND*` ``  ``N23a.0  Secondaryschools,collegesandlawschoolsattended.'pi TJ4TS$S$ ``  ``T =3! =Schools @6$" @ClassStanding <2$" <DatesofAttendance 9/!" 9Degree G='" ``  TTG 4*!p 4 .$p  . * p  * 'p  ' >4p  TT  TT> 4*!  4 .$ . *  * ' ' >4 TT  TT> 4*!h  4 .$h  . * h  * 'h  ' >4h  TT  TT> 4*!  4 .$  . *   * '  ' >4  TT  TT> 4*!`   4 .$`   . * `   * '`   ' B8`   TT  ``B23b.0  Listanddescribeacademicscholarshipsearned,honorsocietiesorotherawards. YO4 !S$S$ ``  TT Y 4*!p"  46,*p# TT    6*!#ddX X` ` v v  S S  T$T$,X , , , , , ,  ,  +  .$ @# ``.& a NONLEGALEMPLOYMENT: ND*$ ``  ``N24.0  Listallpreviousfulltimenonlegaljobsorpositionsheldsince21inchronologicalorderand <% brieflydescribethem. YO4h&R$R$ ``  ``Y 9/!' 9Date =3!(" =Position @6$)" @Employer @6$*" @Address OE/+" ``   TTO 0&!-, 0 +!-- + .$-. . .$-/ .'a . A7!? TT  TTA 0&!u@ 0 +!uA + .$uB . .$uC . E;!uD TT  ``E& 4 PROFESSIONALADMISSIONS: ND*E ``  ``N25.0  Listallcourts(includingstatebaradmissions)andadministrativebodieshavingspecial  AF admissionrequirementstowhichyouarepresentlyadmittedtopractice,givingthedatesofadmission. TJ4A"HR$R$ ``  ``T =3!#}!I =CourtorAdministrativeBody @6$#}!J" @DateofAdmission J@*#}!K" ``  TTJ 4*!]%#L 4 .$]%#M .'4{ A7!]%#N TT  TTA 4*!&$O 4 .$&$P . A7!&$Q TT  TTA 4*!U(%R 4 .$U(%S . A7!U(%T TT  TTA 4*!)y'U 4 .$)y'V . A7!)y'W TT  TT A 4*!M+(X   4 .$M+(Y  ._ E;!M+(Z TT  ``E&   LAWPRACTICE: 0 (Ifyouareasittingjudge,answerthisseriesofquestionswithreferencetothe ` yearsbeforeyoubecameajudge.) XN4< R$ R$ ``  ``X26.0  Statethenames,datesandaddressesforallfirmswithwhichyouhavebeenassociatedin ( practice,governmentalagenciesorprivatebusinessorganizationsbywhichyouhavebeenemployed,periodsyouhavepracticedasasolepractitioner,lawclerkshipsandotherprioremployment: TJ4LR$R$ ``  ``T =3!8  =Position @6$8 " @NameofFirm @6$8  " @Address <2$8  " <Dates G='8  " ``  TTG 4*! h  4 .$ h  . .$ h . *  h *' >4 h TT  TT> 4*!<  4 .$<  . .$<  . * <  * >4<  TT  TT> 4*! `  4 .$ `  . .$ `  . *  `  * >4 `  TT  TT> 4*!4  4 .$4  . .$4  . * 4  * >44  TT  TT > 4*!X    4 .$X!   . .$X"   . * X#  *.$"X$ TT   .*$%ddX X         !#T$T$,X ,4 ,X , , ,X ,f ,X ,X , ,X ,, +  .$ $ `` .27.0  Describethegeneralnatureofyourcurrentpracticeincludinganydesignatedareasofpractice 8% orcertificationswhichyoupossess;additionally,ifyourpracticeissubstantiallydifferentfromyourpriorpracticeorifyouarenotnowpracticinglaw,givedetailsofpriorpractice.Describeyourtypicalclientsorformerclientsandtheproblemsforwhichtheysoughtyourservices. YO4\(R$R$ ``   ``Y 4*!H) 4 J@&H* ``    `` J& 8 28a.0  Whatpercentageofyourappearanceincourtsinthelastfiveyearswasin: YO4+R$R$ ``   0Y0  00FederalCourt? M<.@, M =3!@-" =% @6$@. @StateCountyCourt? <2$@/ < =3!@0" =%'8 TJ/@1 00   0T0  00StateCircuitCourt  0  0004(General)?! ^M?P344 ^!! UD?P344 U! =3!|$4" =% @6$|$5 @AdministrativeBodies? ?2$|$6 ? =3!|$7" =% TJ/|$8 00   0T  :)08 :   3)08 3  =3!`9" =% @6$`: @CriminalCourt? ?2$`; ? =3!`<" =% TJ/`= 00   0T0  00ProbateCourt? F<.> F =3!?" =% @6$@ @JuvenileCourt? ?2$A ? =3!B" =% TJ/C 00   0T0  00AppellateCourt? M<.0D M =3!0E" =% @6$0F @GeneralMasterHearings? C2$0G C =3!0H" =% SI/0I 00   `` S28b.0  Foryourlastfivecases,whichwereeithercontestedortried,listthenamesandtelephone DJ numbersoftrialcounseloneitherside. YO4p KR$R$ ``   TTY 4*!!L 4 OE&!M TT    `` O29a.0  Duringthelastfiveyears,whatpercentageofyourpracticehasbeentrialpractice? M<.#(!N    M 9/!#(!O" 9% UK,#(!P ``   ``U29b.0  Howfrequentlyhaveyouappearedatadministrativehearings? M<.%"Q M =3!%"R" =Ѐtimespermonth XN/%"S ``   ``X29c.0  HowfrequentlyhaveyouappearedinCourt? M<.&`$T M =3!&`$U" =Ѐtimespermonth XN/&`$V ``   ``X29d.0  Whatpercentageofyourpracticeinvolvinglitigationhasbeencivil? F<.T(%W F =3!T(%X" =% xn/T(%Y ``    =@29``=@x29e.0  Whatpercentageofyourpracticeinvolvinglitigationhasbeencriminal? m\N)'Z  =@29 =@ m =3!)'[" =% SI/)'\ ``   ` S&  29f.0  Ifyourpracticewassubstantiallypersonalinjury,whatpercentageofyourworkwasin ]S4+4)]R$R$ `   ` ]0  0hhrepresentationofplaintiffs? M<.`,*^hh  M 9/!`,*_" 9% =3!`,*`   =0  defendants? M<.`,*a  M =3!`,*b" =%'+ SI/`,*c `   `` S_&   29g.0  Howmany(number)ofthecasesyouhavetriedtoverdictorjudgmentwere: YO4`R$R$ ``   ``Y 9/!L 90  Jury? C9+L C 9/!L" 9 =3!L =Nonjury? <2$L < 9/!L 9 =3!L" = TJ/L  ``   `` T 9/!   90  Arbitration? J9+   J 9/! " 9 =3!    =AdministrativeBodies? <2$  < @/!  @ =3!" ='?53 ``    ?*<&'d dX X4 4X X  X Xf fX XX X X X, ,$%T$T$<,X ,x +  .$ $ ``.29h.0  Forthecasesyouhavetriedtoconclusioninarbitration,beforeadministrativebodiesorin , courtsofrecordduringeachofthepastfiveyears,indicatewhetheryouweresole,associateorchiefcounsel.Givecitationsofanyreportedcases. YO4, T$T$ ``  TTY 0&! \ 0 G=# \ TT   ``G29i.0  Listanddescribethefivemostsignificantcaseswhichyoupersonallylitigatedgivingcasestyle, <  numberandcitationtoreporteddecisions,ifany.Identifyyourclientanddescribethenatureofyourparticipationinthecaseandthereasonyoubelieveittobesignificant.Givethenameofthecourtandjudge,thedatetriedandnamesofotherattorneysinvolved. YO4` T$T$ ``  TTY 0&!@  0 G=#@  TT   ``G29j.0  Attachatleastoneexampleoflegalwritingwhichyoupersonallywrote.Ifyouhavenot p personallywrittenanylegaldocumentsrecently,youmayattachwritingforwhichyouhadsubstantialresponsibility.Pleasedescribeyourdegreeofinvolvementinpreparingthewritingyouattach. XN4D T$T$ ``  ``X30.0  Ifduringanypriorperiodyouhaveappearedincourtwithgreaterfrequencythanduringthelast ! fiveyears,indicatetheperiodduringwhichthiswassoandgiveforsuchpriorperiodsasuccinctstatementofthepartyouplayedinthelitigation,numbersofcasesandwhetherjuryornonjury. YO4T$T$T$ ``  TT Y 0&!%  03)'& TT    3*~)*ddX Xx x&'T$T$~,X ,X ,8 ,[ , +  .$ & ``.& D PRIORJUDICIALEXPERIENCEORPUBLICOFFICE: ND*d ' ``  ``N31a.0  Haveyoueverheldjudicialofficeorbeenacandidateforjudicialoffice?Ifso,statethecourt(s) ( involvedandthedatesofserviceordatesofcandidacy.'Dd̵ YO4|)S$S$ ``  ``Y 4*!h* 4 J@&h+ ``   ``J&  31b.  Listanypriorquasijudicialservice: J@* , ``  ``J =3!"8 - =Dates <2$"8 ." <NameofAgency 9/!"8 /" 9PositionHeld G='"8 0" ``  ``G 4*!$$!1 4 * $$!2 * '$$!3 ''  >4$$!4 ``  ``> 4*!%`#5 4 * %`#6 * '%`#7 ' B8%`#8 ``  ``B0  0S$S$Typesofissuesheard: YO4L'$9S$S$ ``  ``Y 4*!(&: 4 J@&(&; ``   ``J31c.0  Haveyoueverheldorbeenacandidateforanyotherpublicoffice?Ifso,statetheoffice, t*(< locationanddatesofserviceorcandidacy. YO4H+(=S$S$ ``  `` Y 4*!,*>  4 J@&,*? ``   ``J31d.0  Ifyouhavehadpriorjudicialorquasijudicialexperience, XN4`S$S$ ``  ``X 0  0S$S$(i)0S$S$04S$S$Listthenames,phonenumbersandaddressesofsixattorneyswhoappearedbefore L youonmattersofsubstance. ]S4 4S$4S$ ``  ``] 7-$\ 7 J@&\ ``   ``J0  0S$S$(ii)0S$S$04S$S$Describetheapproximatenumberandnatureofthecasesyouhavehandledduring H yourjudicialorquasijudicialtenure. ]S4 4S$4S$ ``  `` ] 7-$ X  76,* X  ``    6*+,ddX XX X8 8[ [ )*T$T$, ,  +  .$   ``.0    (iii)0T$T$04T$T$Listcitationsofanyopinionswhichhavebeenpublished. YO4D 4T$4T$ ``  ``Y 0&!  0 G=#  ``   ``G0  0T$T$(iv)04T$T$Listcitationsorstylesanddescribethefivemostsignificantcasesyouhavetriedor l  heard.Identifytheparties,describethecasesandtellwhyyoubelievethemtobesignificant.Givedatestriedandnamesofattorneysinvolved. YO44T$4T$ ``  ``Y 0&!P 0 G=#P ``   ``G0  0T$T$(v)0T$T$04T$T$HasacomplaintaboutyoueverbeenmadetotheJudicialQualificationsCommission? < Ifso,givedate,describecomplaintanditsresolution. YO44T$4T$ ``  ``Y 0&!L 0 G=#L ``   ``G0  0T$T$(vi)04T$T$Haveyoueverheldanattorneyincontempt?Ifso,foreachinstancestatenameof 8 attorney,approximatedateandcircumstances. YO4 4T$4T$ ``  `` Y 0&!H  03)'H ``    3*~-.dd   +,T$T$~,X ,x +  .$ | ``.&  BUSINESSINVOLVEMENT: ND*4 ``  ``N32a.0  Ifyouarenowanofficer,directororotherwiseengagedinthemanagementofanybusiness x enterprise,statethenameofsuchenterprise,thenatureofthebusiness,thenatureofyourduties,andwhetheryouintendtoresignsuchpositionimmediatelyuponyourappointmentorelectiontojudicialoffice.'4 YO4L T$T$ ``  ``Y 0&!! 0 G=#!  ``   ``G32b.0  SincebeingadmittedtotheBar,haveyoueverbeenengagedinanyoccupation,businessor t#!! professionotherthanthepracticeoflaw?Ifso,givedetails,includingdates. YO4H$!"T$T$ ``  ``Y 0&!%## 0 G=#%#$ ``   ``G32c.0  Statewhetherduringthepastfiveyearsyouhavereceivedanyfeesorcompensationofany p'%% kind,otherthanforlegalservicesrendered,fromanybusinessenterprise,institution,organization,orassociationofanykind.Ifso,identifythesourceofsuchcompensation,thenatureofthebusinessenterprise,institution,organizationorassociationinvolvedandthedatessuchcompensationwaspaidandtheamounts. YO4*h()T$T$ ``  `` Y 0&!T,)*  0 G=#T,)+ ``   ``G&   POSSIBLEBIASORPREJUDICE: ND*` ``  ``N33.0  TheCommissionisinterestedinknowingiftherearecertaintypesofcases,groupsofentities, T orextendedrelationshipsorassociationswhichwouldlimitthecasesforwhichyoucouldsitasthepresidingjudge.Pleaselistalltypesorclassificationsofcasesorlitigantsforwhichyouasageneralpropositionbelieveitwouldbedifficultforyoutositasthepresidingjudge.Indicatethereasonforeachsituationastowhyyoubelieveyoumightbeinconflict.Ifyouhavepriorjudicialexperience,describethetypesofcasesfromwhichyouhaverecusedyourself.'g YO4x T$T$ ``  `` Y 0&!   03)'   ``   3*~/0d dX Xx x-.T$T$~,X , , +  .$ @   HH.&  MISCELLANEOUS: ND* 0  HH  HHN34.0  Haveyoueverbeenconvictedforviolationofanyfederal,state,countyormunicipallaw,   regulationorordinance?Ifso,givedetails.Donotincludetrafficviolationsforwhichafineof$100orlesswasimposedunlessitalsoincludedajailsentence.' " YO4D T$T$ HH  BBY 4*!  4 J@&  BB   HHJ35a.0  Haveyoueverbeensuedbyaclient?Ifso,giveparticularsincludingnameofclient,datesuit X filed,court,casenumberanddisposition. YO4,T$T$ HH  BBY 4*!2 4 J@&2 BB   HHJ35b.0  Haveyouoryourprofessionalliabilityinsurancecarriereversettledaclaimagainstyoufor  professionalmalpractice?Ifso,giveparticulars,includingtheamountsinvolved. YO4dT$T$ HH  BBY 4*! 4 J@& BB   HJ36a.0  Haveyoueverfiledapersonalpetitioninbankruptcyorhasapetitioninbankruptcybeenfiled YO4x T$T$ H  HY 9/!L 9againstyou? 0&!L 0 G=#L H   HHG36b.0  Haveyoueverownedmorethan25%oftheissuedandoutstandingsharesoractedasan X officerordirectorofanycorporationbywhichoragainstwhichapetitioninbankruptcyhasbeenfiled?Ifso,givenameofcorporation,yourrelationshiptoitanddateandcaptionofpetition. YO4,T$T$ HH  BBY 4*!2  4 J@&2! BB   HHJ37.0  Haveyoueverbeenapartytoalawsuiteitherasaplaintifforasadefendant?Ifso,please " supplystyle,casenumber,natureofthelawsuit,whetheryouwerePlaintifforDefendantanditsdisposition. YO4!8$T$T$ HH  BB Y 4*!" %  46,*" & BB   6*12d dX X  /0T$T$,X ,X ,w ,9 ,w , +  .$ $!& TT.38.0  Hasthereeverbeenafindingofprobablecauseorothercitationissuedagainstyouorareyou X$"' presentlyunderinvestigationforabreachofethicsorunprofessionalconductbyanycourt,administrativeagency,barassociation,orotherprofessionalgroup.Ifso,givetheparticulars. YO4&#)S$S$ TT  TTY 4*!|'$%* 4 J@&|'$%+ TT   TTJ39a.0  Haveyoufiledallpasttaxreturnsasrequiredbyfederal,state,localandothergovernment (&, authorities? TJ4)t'-S$S$ TT  TTT 9/!H+(. 9Yes 9/!H+(/ 94K@O  5  6@O   7, 9 9/!H+(0" 90 No C9+H+(1  C4Lb @O  5  6*@O>  7 l 9/!H+(2" 90  Ifno,explain. VL1H+(3S$S$ TT  TTV 4*!,l*4 4 A7&,l*5 TT   TTA39b.0  Haveyoueverpaidataxpenalty? KA+TS$S$ TT  TTK 9/!( 9Yes 9/!( 94M@O  5  6@O   7, 9 9/!(" 90 No C9+(   C4Nb @O  5  6*@O>  7 l 9/!(" 90  Ifyes,explainwhatandwhy. VL1(S$S$ TT  TTV 4*!L 4 J@&L  TT   TTJ39c.0  Hasataxlieneverbeenfiledagainstyou?Ifso,bywhom,when,whereandwhy? YO4  S$S$ TT  TTY 4*!D  4 J@&D  TT   TTJ& X HONORSANDPUBLICATIONS: ND*   TT  TTN40.0  Ifyouhavepublishedanybooksorarticles,listthem,givingcitationsanddates.'X A YO4 D S$S$ TT  TTY 4*!  4 J@&  TT   TTJ41.0  Listanyhonors,prizesorawardsyouhavereceived.Givedates. YO4< S$S$ TT  TTY 4*!  4 J@&  TT   TTJ42.0  Listanddescribeanyspeechesorlecturesyouhavegiven. YO44S$S$ TT  TT Y 4*!  46,* TT    6*34ddX XX Xw w9 9w w 12T$T$,X ,x +  .$ 0 NN.&  PROFESSIONALANDOTHERACTIVITIES: ND*~& NN  NNN43a.0  Listallbarassociationsandprofessionalsocietiesofwhichyouareamemberandgivethe  titlesanddatesofanyofficewhichyoumayhaveheldinsuchgroupsandcommitteestowhichyoubelonged.'~j YO4FT$T$ NN  NNY 0&! 0 G=# NN   NNG43b.0  List,inafullyidentifiablefashion,allorganizations,otherthanthoseidentifiedinresponseto ~& questionNo.43(a),ofwhichyouhavebeenamembersincegraduatingfromlawschool,includingthetitlesanddatesofanyofficeswhichyouhaveheldineachsuchorganization. YO4&T$T$ NN  NNY 0&!>  0 G=#>! NN   NNG43c.  Listyourhobbiesorothervocationalinterests. OE*" NN  NNO 0&!v # 0 G=#v $ NN   NNG43d.0  Doyounoworhaveyoueverbelongedtoanyclubororganizationthatinpracticeorpolicy !% restricts(orrestrictedduringthetimeofyourmembership)itsmembershiponthebasisofrace,religion,nationaloriginorsex?Ifso,detailthenameandnatureoftheclub(s)ororganization(s),relevantpoliciesandpracticesandwhetheryouintendtocontinueasamemberifyouareselectedtoserveonthebench. YO46%")T$T$ NN  NN Y 0&!&N$*  03)'&N$+ NN    3*~78d dX Xx x34T$T$~,X ,x +  & 'p%+ &43e.0  Describeanyprobonolegalworkyouhavedone.Givedates. KA.,(%,T$T$ K 0&!)<'- 0 >4)<'.   >&  SUPPLEMENTALINFORMATION: E;)*(/   E44a.0  Haveyouattendedanycontinuinglegaleducationprogramsduringthepastfiveyears?Ifso, l,*0  inwhatsubstantiveareas?'*- KA.@-*1T$T$ K 0&!d 0 9/d   944b.0  Haveyoutaughtanycoursesonlaworlecturedatbarassociationconferences,lawschool $ forums,orcontinuinglegaleducationprograms?Ifso,inwhatsubstantiveareas? KA.T$T$ K 0&!` 0 9/`   945.0  Describeanyadditionaleducationorotherexperienceyouhavewhichcouldassistyouin p holdingjudicialoffice. KA.DT$T$ K 0&!   0 9/     946.0  Explaintheparticularpotentialcontributionyoubelieveyourselectionwouldbringtothis l   position. KA.@ T$T$  K 0&! P   0-#! P    -*~9:d dX Xx x78T$T$~,X ,x +  .$ T  ``.47.0  Ifyouhavepreviouslysubmittedaquestionnaireorapplicationtothisoranyotherjudicial    nominatingcommission,pleasegivethenameofthecommissionandtheapproximatedateofsubmission. YO4\T$T$ ``  ``Y 0&!H 0 G=#H ``   ``G48.0  GiveanyotherinformationyoufeelwouldbehelpfultotheCommissioninevaluatingyour  application. YO4XT$T$ ``  ``Y 0&!D 0 LB#D ``   ``L&  REFERENCES: SI/ ``   ``S49.0  Listthenames,addressesandtelephonenumbersoftenpersonswhoareinapositionto t commentonyourqualificationsforjudicialpositionandofwhominquirymaybemadebytheCommission.'  YO4T$T$ ``  `` Y 0&!X  03)'X ``    3   X*x56ddX Xx x9:T$T$x, +  '   'l %%.CERTIFICATE#%.% l # >4&d"    >  Ihavereadtheforegoingquestionscarefullyandhaveansweredthemtruthfully,fullyandcompletely.IherebywaivenoticebyandauthorizeTheFloridaBaroranyofitscommittees,educationalandotherinstitutions,theJudicialQualificationsCommission,theFloridaBoardofBarExaminersoranyjudicialorprofessionaldisciplinaryorsupervisorybodyorcommission,anyreferencesfurnishedbyme,employers,businessandprofessionalassociates,allgovernmentalagenciesandinstrumentalitiesandallconsumerandcreditreportingagenciestoreleasetotherespectiveJudicialNominatingCommissionandOfficeoftheGovernoranyinformation,files,recordsorcreditreportsrequestedbythecommissioninconnectionwithanyconsiderationofmeaspossiblenomineeforappointmenttojudicialoffice.InformationrelatingtoanyFloridaBardisciplinaryproceedingsistobemadeavailableinaccordancewithRule37.1(q)(2),RulesRegulatingTheFloridaBar.Irecognizeandagreethat,pursuanttotheFloridaConstitutionandtheUniformRulesofthiscommission,thecontentsofthisquestionnaireandotherinformationreceivedfromorconcerningme,andallinterviewsandproceedingsofthecommission,exceptfordeliberationsbythecommission,shallbeopentothepublic.Datedthis__________dayof_________________________,20_____. 9/! 9 0  0T$T$0T$T$04T$T$0` 4T$4T$0 ` T$` T$0 T$ T$0 T$ T$0 T$ T$0<T$T$0h<T$<T$0hT$hT$0T$T$0T$T$0T$T$0DT$T$0pDT$DT$#T$T$MT$_pp2pT$pT$#0  0T$T$0T$T$04T$T$0` 4T$4T$0 ` T$` T$0 T$ T$0 T$ T$0 T$ T$0<T$T$0h<T$<T$0hT$hT$0T$T$0T$T$0T$T$0DT$T$0pDT$DT$0pT$pT$0T$T$0T$T$0 T$T$Signature C9+=# T$ T$ C 9/!$ 9  PursuanttoSection119.07(3)(i)(1),F.S.,...Thehomeaddressesandtelephonenumbersofjusticesof  ]% theSupremeCourt,districtcourtofappealjudges,circuitcourtjudges,andcountycourtjudges;thehomeaddresses,telephonenumbers,andplacesofemploymentofthespousesandchildrenofjusticesandjudges;andthenamesandlocationsofschoolsanddaycarefacilitiesattendedbythechildrenofjusticesandjudgesareexemptfromtheprovisionsofsubsection(1),dealingwithpublicrecords.1'%]#)   1  a$) *k;<dd 56T$T$k,, , +  3)  ``3l %%.FINANCIALHISTORY#%.% l># XN/`" ``   ``XInlieuofansweringthequestionsonthispage,youmayattachcopiesofyourcompletedFederalIncomeTaxReturnsfortheprecedingthree(3)years.Thoseincometaxreturnsshouldincludereturnsfromaprofessionalassociation.Ifyouanswerthequestionsonthispage,youdonothavetofilecopiesofyourtaxreturns. SI//  ``   ``S1.0  Statetheamountofgrossincomeyouhaveearned,orlossesyouhaveincurred(beforededucting   expensesandtaxes)fromthepracticeoflawfortheprecedingthreeyearperiod.Thisincomefigureshouldincludesalary,ifthenatureofyouremploymentisinalegalfield. YO4V T$T$ ``  ``Y 0&!:  0 G=#:  ``   ``G2.0  Statetheamountofnetincomeyouhaveearned,orlossesyouhaveincurred(afterdeducting ~  expensesbutnottaxes)fromthepracticeoflawfortheprecedingthreeyearperiod.Thisincomefigureshouldincludesalary,ifthenatureofyouremploymentisinalegalfield. YO4&v T$T$ ``  ``Y 0&!  0 G=#  ``   ``G3.0  Statethegrossamountofincomeorlossesincurred(beforedeductingexpensesortaxes)you N haveearnedintheprecedingthreeyearsfromallsourcesotherthanthepracticeoflaw,andgenerallydescribethesourceofsuchincomeorlosses. YO4FT$T$ ``  ``Y 0&! 0 G=# ``   ``G4.0  Statetheamountofnetincomeyouhaveearnedorlossesincurred(afterdeductingexpenses) n fromsourcesotherthanthepracticeoflawfortheprecedingthreeyearperiod,andgenerallydescribethesourcesofsuchincomeorlosses. YO4T$T$ ``  ``Y 0&!Z 03)'Z ``   3_   E"*x=>d d, , ;<T$T$x"",*x=>d d, , ;<T$T$x,,*x=>d d, , ;<T$T$x,,`` ,`` ,w`` ,`` ,s`` ,`` ,`` ,s`` ,`` +  3)  `` 3Xg %%.JUDICIALAPPLICATIONDATARECORD#%.% Xg7$#X X%%. jU/`" ``    4`` ddj  Thejudicialapplicationshallincludeaseparatepageaskingapplicantstoidentifytheirrace,ethnicityandgender.Completionofthispageshallbeoptional,andthepageshallincludeanexplanationthattheinformationisrequestedfordatacollectionpurposesinordertoassessandpromotediversityinthejudiciary.ThechairoftheCommissionshallforwardallsuchcompletedpages,alongwiththenamesofthenomineestothe_JNC_ԀCoordinator$#The#$%intheGover%&%nro%&'nor'('s'()s_Offi)*)e)*+ce+#atTheFloridaBar#_(pursuantto_JNC_ԀUniformRuleofProcedure). bX9|  `` 4 dd  `` bl XX (PleaseTypeorPrint)#X X l(# TJ/2 " ``    ``TDate: ;*!  ; 7-  7 XN/  ``   ``X_JNC_ԀSubmittingTo: >-$\  > OE&\  ``   `` O XN/R ``    ``XName(pleaseprint): >-$ > OE& ``   ``OCurrentOccupation: >-$,| > OE&,| ``   ``OTelephoneNumber: >-$" > 3)" 3AttorneyNo.: ;*!" ; OE&" ``   ``OGender(checkone): <2$x < 9/!x 9 9/!x 94th@O  5  6N.@Ob.  7r. 9/!x" 9Male 9/!x 9 9/!x 94S@O  5  6/@O/  7I/ 9/!x" 9Female UK,x ``   ``UEthnicOrigin(checkone): <2$$ t < 9/!$ t  94 @O  5  6r1@O1  7r1 =3!$ t!" =White,nonHispanic XN/$ t" ``   ``X <2$! # <Ѐ 9/!! $ 94O@O  5  6F3@OZ3  7r3 =3!! %" =Hispanic XN/! & ``   ``X <2$|#' <Ѐ 9/!|#( 94P@O  5  65@O#5  7rQ5 =3!|#)" =Black XN/|#* ``   ``X <2$(%x + <Ѐ 9/!(%x , 94Q@O  5  66@O6  7r7 =3!(%x -" =AmericanIndian/AlaskanNative XN/(%x . ``   ``X <2$&$"/ <Ѐ 9/!&$"0 94R@O  5  68@O8  7r8 =3!&$"1" =Asian/PacificIslander XN/&$"2 ``   ``XCountyofResidence: >-$(#3 >6,*(#4 ``    6  )%4 *DFd d`` `` w`` w`` s`` s`` `` s`` s`` =>T$T$, , ,% +  .$  .  @ FLORIDADEPARTMENTOFLAWENFORCEMENT  @ DISCLOSUREPURSUANTTOTHE@ FAIRCREDITREPORTINGACT(_FCRA_)TheFloridaDepartmentofLawEnforcement(_FDLE_)mayobtainoneormoreconsumerreports,includingbutnotlimitedtocreditreports,aboutyou,foremploymentpurposesasdefinedbytheFairCreditReportingAct,includingfordeterminationsrelatedtoinitialemployment,reassignment,promotion,orotheremployment-relatedactions.@ CONSUMER'SAUTHORIZATIONFOR_FDLE_Ԉ@( ( TOOBTAINCONSUMERREPORT(S)IhavereadandunderstandtheaboveDisclosure.IauthorizetheFloridaDepartmentofLawEnforcement(_FDLE_)toobtainoneormoreconsumerreportsonme,foremploymentpurposes,asdescribedintheaboveDisclosure. ND*.  NPrintedNameofApplicant: :)$ : C2$ C B8  B B8  XBSignatureofApplicant:T$T$MT$ J@*   J J@*   XJDate: @/!P @ @/!@ @ 9/!P" 9 KA'P   KRev.021705_OGC_:0.R   :