FLORIDA SUPREME COURT
STANDARD JURY INSTRUCTIONS COMMITTEE (CIVIL)
APPLICATION FOR APPOINTMENT
[__] Check Here If Reapplication
Name Fla. Bar No. Date Admitted
Have you previously applied for appointment to this committee? Yes No If Yes, please include dates: If within past two years, please update this application only to the extent your prior application has changed (committee retains applications for two years).
Employer: How long?
Office address
City Zip Phone Fax
Email address:
If less than five years at current employer, list previous employer(s)
Place and date of birth Length of residence in Florida
Residence City
Education (colleges attended, graduation dates, degrees):
Admitted in these courts:
Member of these state/local bar associations:
I am presently
a judge
a sole practitioner
in a 2─10 lawyer office, 11─35 lawyer office, 35+ lawyer office, or other (please explain):
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For lawyers: Practice is mainly in the following areas (if trial, specify plaintiff or defense):
Designation(s) or certification(s) (list area(s)):
For judges: List judicial experience (dates of service, types of cases, etc.)
The Florida Bar or Supreme Court of Florida appointments presently or previously held (past five years):
Served on the following state/local bar committees (include dates and whether chair or co-chair):
Have you ever resigned from a bar or court appointment? If yes, explain.
Please state your interest and qualifications for this appointment and the particular contribution your selection would bring to the committee’s work.
Names, addresses, and phone numbers of at least two persons to comment on your qualifications:
How did you learn of this vacancy?
Submit any additional information (not exceeding four pages) that may be helpful in evaluating your application such as employment experience; education; list of professional articles/publications; teaching or CLE activities; and academic, professional, or civic activities.
I understand that (a) attendance at the committee’s meetings, which occur three times a year, is a high priority requiring protected time on my calendar, and (b) the committee’s work requires that members view instructions objectively, making every effort to prepare balanced instructions that do not favor their own practice areas.
Date Signature:
Please send the application to the committee by mail to: Laura Whitmore, Shook, Hardy & Bacon,100 N. Tampa Street, Suite 2900, Tampa, FL 33602-5810 or e-mail to:
Deadline for receipt of applications is: June 1, 2017.
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