Advisory Committee Nomination Form

Nominations are solicited for advisory committee positions listed below.
Please complete and submit a separate form for each nomination. Self nomination is encouraged.

Required fields have an asterisk (*) next to them and must be completed.

Candidate Information

Self Nomination (Nominator information not required if checked)

Candidate's Name*: Hon. Mr. Ms. Mx.
Name: *

Title*:

Official Court/Agency/Business Information Court/Agency/Business Name*:
Address*:
City*: County*:
Zip*:
Phone*:
FAX:
E-Mail*:

Check here if nominee is an incumbent.

Judicial Officer or Court Employee Nominee check this box to confirm that the presiding judge, court executive officer, or supervisor, as appropriate, has been advised that the nominee has applied for appointment to Judicial Council advisory bodies.

Candidate's previous Judicial Council, advisory body, and task force memberships:

Particular areas of expertise in the field of law or court administration* (for lawyer applicants, include specific areas of practice and level of experience)*:

Bio* (Please copy and paste your resume or curriculum vitae here. The nomination will be considered incomplete without it.):

Nominator Information

Nominator's Name* Hon. Mr. Ms. Mx.

Please check here to confirm that the candidate has been contacted and is willing to serve if appointed.

Name*:

Title*:

Official Court/Agency Information

Court/Agency*:

Official court/agency mailing address*:
City*: County*:
Zip*:
Phone*:
E-Mail*:

Please consider candidate for one or more of the following current vacancies. Please click on the advisory committee and select the position you are interested in*: