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Northern District of California Neutral Profile I am CURRENTLY: ENE EvaluatorMediatorArbitrator I am APPLYING to be a (check one or more): ENE EvaluatorMediatorArbitrator Name Firm or Office First Last Name Street City State/Zip Phone E-mail/Website Office Fax EMail Website Summarize ADR experience, particularly in the last five years Other courts or organizations for which you serve as an ADR neutral Number of sessions conducted as an ADR neutral Mediation ENE Arbitration Other please specify(e.g., settlement conferences, judge pro tem         Course Provider, Course Content, Date and No. Hours Role-Playing by Participants For each ADR panel to which you are applying, please check all subject areas in which you believe you are qualified to serve. Note that ENE and arbitration require greater substantive expertise than mediation because evaluators prepare evaluations and arbitrators render awards based on the merits of the case. ENE Mediation Arbitration Administrative/Regulatory Antitrust Aviation Banking/Financial Services Bankruptcy Business Torts Constitutional Law-General Constitutional Law-1st Am. Construction Consumer Contracts Copyright-General Copyright-I.T. Debtor/Creditor Disability: Access Disability: Education Disability: Employment Education Elections Em. Domain/Condemnation Employment Discrimination Environmental ERISA Franchise Fraud Gov't-Contracts Gov't-Public Agency Law Health Care Housing Discrimination ICC Immigration Insurance International Law Labor Relations Land Use/Zoning Landlord/Tenant Legal Malpractice Libel/Slander Medical Malpractice Maritime-Personal Injury Maritime-Cargo Oil & Gas Partnerships Patent-Biotech/Medical Patent-Chemical Patent-Computer/Software Patent-Electrical Patent-Mechanical Personal Injury Police Misconduct Prisoner Civil Rights Product Liability Qui Tam Railroad Securities Sexual Harassment Tax Trade Secrets Trademark UCC Unfair Competition Utilities Wrongful Termination Administrative/Regulatory Antitrust Aviation Banking/Financial Services Bankruptcy Business Torts Constitutional Law-General Constitutional Law-1st Am. Construction Consumer Contracts Copyright-General Copyright-I.T. Debtor/Creditor Disability: Access Disability: Education Disability: Employment Education Elections Em. Domain/Condemnation Employment Discrimination Environmental ERISA Franchise Fraud Gov't-Contracts Gov't-Public Agency Law Health Care Housing Discrimination ICC Immigration Insurance International Law Labor Relations Land Use/Zoning Landlord/Tenant Legal Malpractice Libel/Slander Medical Malpractice Maritime-Personal Injury Maritime-Cargo Oil & Gas Partnerships Patent-Biotech/Medical Patent-Chemical Patent-Computer/Software Patent-Electrical Patent-Mechanical Personal Injury Police Misconduct Prisoner Civil Rights Product Liability Qui Tam Railroad Securities Sexual Harassment Tax Trade Secrets Trademark UCC Unfair Competition Utilities Wrongful Termination Administrative/Regulatory Antitrust Aviation Banking/Financial Services Bankruptcy Business Torts Constitutional Law-General Constitutional Law-1st Am. Construction Consumer Contracts Copyright-General Copyright-I.T. Debtor/Creditor Disability: Access Disability: Education Disability: Employment Education Elections Em. Domain/Condemnation Employment Discrimination Environmental ERISA Franchise Fraud Gov't-Contracts Gov't-Public Agency Law Health Care Housing Discrimination ICC Immigration Insurance International Law Labor Relations Land Use/Zoning Landlord/Tenant Legal Malpractice Libel/Slander Medical Malpractice Maritime-Personal Injury Maritime-Cargo Oil & Gas Partnerships Patent-Biotech/Medical Patent-Chemical Patent-Computer/Software Patent-Electrical Patent-Mechanical Personal Injury Police Misconduct Prisoner Civil Rights Product Liability Qui Tam Railroad Securities Sexual Harassment Tax Trade Secrets Trademark UCC Unfair Competition Utilities Wrongful Termination Professional Experience: Summarize legal or other professional experience (including teaching), particularly in past five years Nature of Practice: Attorney applicants only Litigation Number of years in active litigation Percentage of practice in last 5 years : representing plaintiffs % representing defendants % in federal court % in state court % Transactional Please describe: Other Please describe: Bar Admissions Bar Bar No. Year of Admission No. District California N/A California Bar Other: Specify Legal and Other Professional Education: Degree, school, year received Other Relevant Information (e.g. publications, professional affiliations, awards, additional experience or skills) Number of court cases per year for which you are willing to serve as a neutral: (the minimum is 3 per program) Mediation Cases ENE Cases Preference for type of cases you would like to be assigned: Available for sessions in (check all that apply): SFOaklandSJPalo AltoMontereyMarin CountyWalnut CreekSanta Rosa and/or I consent to public disclosure, including on the court's internet site, of the information above. (The court will post your profile only if you are an existing neutral or if you are accepted on an ADR panel.) NoYes   REFERENCES (List 3; if possible, include lawyers or parties in ADR sessions you conducted) Name, phone no., context in which reference knows you HAVE YOU EVER: 1) been part of any civil, criminal or administrative proceeding charging you with conduct involving dishonesty, unethical conduct or commission of a crime? or 2) been disciplined or cited for a breach of ethics or unprofessional conduct by any court, administrative agency, bar association, or other professional group, excluding sanctions in an amount less than $1,000, imposed against you in a civil proceeding? NoYes   If yes, please explain: Use this area to provide any additional information: Requiring a specific, though silly, response is a device to help prevent malicious attack against our website. Please type this word: STOP