STATE OF CALIFORNIA
OFFICE OF THE GOVERNOR

JUDICIAL OFFICER APPLICATION FOR
APPELLATE COURT APPOINTMENT


Steps
1. Welcome
2. Basic Information
3. Personal & Work Information
4. Educational Information
5. Work History
6. Qualification/Suitability for Judicial Appointment
7. Experience
8. Writing
9. Honors and Awards
10. Organizations, Memberships and Community Activities
11. Additional Questions
12. Further Information

1. Name of Applicant:
Prefix:
First Name:
Middle Name:
Last Name:
Suffix:


2. Prior names used by Applicant (Include the dates each name was used.):


3. Preferred Judicial Position (in the space requesting ďdivisionĒ preference, please type the word ďANY,Ē unless you are applying for the Second District Court of Appeal, Division 6; or you are applying for any of the divisions of the Fourth District Court of Appeal, in which case you should indicate which division you are applying for):
Judge of the: - Division:
If you are a sitting associate justice and are applying to be a presiding justice, please indicate here:


4. Business/Government Information:
Title:
Court:
Address:
City:
County:
State:
Zip:
Phone:
Email:


5. Date of Birth:
Place of Birth:
Drivers License #:
Social Security #: Ex:###-##-####
California Bar #:
Admission Date:

(Eligibility requirement: Member of the California State Bar for 10 years preceding your application.)

INFORMATION FOR REPORTING PURPOSES


6. State law requires the Governorís Office to collect, on an aggregate statewide basis, demographic data relative to ethnicity, race, disability, veteran status, gender, gender identity and sexual orientation (Gov. Code, ß12011.5, subdivision (n)). To assist the Governorís Office with these reporting obligations, applicants are asked to voluntarily provide this information below. YOUR ANSWERS TO THESE QUESTIONS ARE PURELY VOLUNTARY AND YOU MAY FREELY SKIP ANY OR ALL OF THESE QUESTIONS AND GO DIRECTLY TO QUESTION 7. If you choose to respond, use the categories below to choose the one(s) with which you most closely identify.

Please identify your gender: Male Female
Please state your Ethnicity:
Please identify your sexual orientation/gender identity:
Please identify if you are a veteran as that term is defined in Section 101(2) of Title 38 of the United States Code:
Please identify if you are person with a mental or physical disability as that term is defined in subdivisions (j), (l), and (m) of California Government Code Section 12926:

Login Info
You must create a login below, with your login you will obtain access to your application prior to its submission to the Governorís Office.

NOTE: The Governorís Office cannot view or access your application until itís been completed and submitted on the final page.

Email Address:
Password: (8 Character minimum)
Confirm Pass: (8 Character minimum)