application for judicial officeapplication for judicial office and the date of each activity:...

PERSONAL & CONFIDENTIAL:

JUDICIAL SELECTION COMMISSION STATE OF HAWAIʻI

417 South King Street, Honolulu, Hawai‘i 96813 APPLICATION FOR JUDICIAL OFFICE

TABLE OF CONTENTS

PART I:

A. INTRODUCTORY INFORMATION

B. CONSTITUTIONAL QUALIFICATIONS FOR APPOINTMENT

C. EDUCATION HISTORY

D. PROFESSIONAL QUALIFICATIONS AND SKILLS

E. PROFESSIONAL AND COMMUNITY ACTIVITIES

F. PROFESSIONAL RESPONSIBILITY

G. CODE OF JUDICIAL CONDUCT

H. CRIMINAL RECORD

I. LITIGATION

J. HEALTH

K. ADDITIONAL QUALITIES

L. REFERENCES

M. APPEAL DECISIONS

N. PENDING MATTERS

PART II: CONFIDENTIAL PERSONAL INFORMATION

PART III: CONFIDENTIAL HEALTH INFORMATION

PART IV: WAIVER, AND AUTHORIZATION, AND RELEASE FORM

PART V: LETTER TO TAX DEPARTMENT

Application for Judicial OfficeJudicial Selection CommissionForm JS-‐P-‐084 (revised 7/2014) Table of Contents

Section 508 Certified

RevaComm 508 Certified

PERSONAL & CONFIDENTIAL

JUDICIAL SELECTION COMMISSION

STATE OF HAWAIʻIAPPLICATION FOR JUDICIAL OFFICE

PART I:

A. INTRODUCTORY INFORMATION

1. FULL NAME:

2. PLEASE ACKNOWLEDGE THE FOLLOWING WITH YOUR INITIALS AFTER YOU HAVE PRINTED YOUR COMPLETED APPLICATION: (a) YOU MUST EXECUTE AND ATTACH ATTACHMENTS 1, 2, 3, AND 4 TO THIS

APPLICATION. ATTACHED AND ACKNOWLEDGED:____________(b) YOU UNDERSTAND THAT THE SELECTION OF AN APPLICANT FOR JUDICIAL

OFFICE DOES NOT CREATE ANY INFERENCE, PRESUMPTION, ENTITLEMENT, OR EXPECTANCY OF RETENTION AT THE EXPIRATION OF THE TERM OF SUCH JUDICIAL OFFICE; THAT A PETITIONER FOR RETENTION DOES NOT HAVE A PROPERTY OR LIBERTY INTEREST IN JUDICIAL OFFICE PROTECTED BY DUE PROCESS; AND THAT A JUDICIAL OFFICER HAS NO LEGITIMATE CLAIM OF ENTITLEMENT TO PREFERENTIAL CONSIDERATION OF A PETITION FOR RETENTION BY VIRTUE OF INCUMBENCY. ACKNOWLEDGED:______________

3. PRESENT OCCUPATION AND JOB TITLE:

4. OFFICE ADDRESS, CITY, STATE, ZIP CODE & TELEPHONE NUMBER.

5. PLEASE ENCLOSE A RECENT PHOTOGRAPH (passport size) OF YOURSELF WITH THE COMPLETED APPLICATION.

Paste photo here

Application for Judicial Office Judicial Selection Commission Form JS-P-084 (revised 4/2012) Page 1




6. CURRENT RESIDENCE ADDRESS, CITY, STATE, ZIP CODE:

7. HOME TELEPHONE NUMBER:

8. LIST EACH AND EVERY RESIDENTIAL AND OFFICE ADDRESS THAT YOU HAVE USED DURING THE TEN-YEAR PERIOD PRECEDING THIS APPLICATION FOR JUDICIAL OFFICE.

9. DATE OF BIRTH:





10. WHAT JUDICIAL OFFICE(S) ARE YOU APPLYING FOR PURSUANT TO THIS APPLICATION?

11. HAVE YOU PREVIOUSLY SUBMITTED AN APPLICATION FOR JUDICIAL OFFICE TO THE JUDICIAL SELECTION COMMISSION?

□ YES □ NO 12. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE STATE THE DATE

OF THE APPLICATION(S) AND THE JUDICIAL OFFICE(S) FOR WHICH THE APPLICATION(S) WAS/WERE SUBMITTED:




B. CONSTITUTIONAL QUALIFICATIONS FOR APPOINTMENT

1. ARE YOU A RESIDENT OF THE STATE OF HAWAIʻI? □ YES □ NO

2. ARE YOU A CITIZEN OF THE UNITED STATES? □ YES □ NO 3. ARE YOU LICENSED BY THE HAWAIʻI SUPREME COURT TO PRACTICE LAW? □ YES □ NO

4. WHEN WERE YOU LICENSED TO PRACTICE LAW BY THE HAWAIʻI SUPREME COURT?

5. HAVE YOU PRACTICED LAW IN HAWAIʻI CONTINUOUSLY SINCE THEN? □ YES □ NO

6. IF YOU HAVE NOT PRACTICED LAW IN HAWAIʻI CONTINUOUSLY SINCE FIRST OBTAINING YOUR LICENSE, INDICATE THE PERIOD(S) IN WHICH YOU HAVE NOT DONE SO, AND WHY?

7. IS YOUR LICENSE TO PRACTICE LAW IN HAWAIʻI PRESENTLY ACTIVE? □ YES □ NO

8. THE CONSTITUTION OF THE STATE OF HAWAIʻI STATES THAT NO JUSTICE OR JUDGE SHALL ENGAGE IN THE PRACTICE OF LAW DURING THE TERM OF OFFICE, NOR RUN FOR OR HOLD ANY OTHER OFFICE OR POSITION OF PROFIT UNDER THE UNITED STATES, THE STATE, OR ITS POLITICAL SUBDIVISIONS. DO THESE PROHIBITIONS POSE ANY DIFFICULTIES FOR YOU IF YOU ARE APPOINTED TO JUDICIAL OFFICE? □ YES □ NO

9. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COMPLETE EXPLANATION:

Application for Judicial OfficeJudicial Selection CommissionForm JS-‐P-‐084 (revised 7/2014) Page 4




C. EDUCATION HISTORY

1. COLLEGE OR UNIVERSITY ATTENDED: College Address Dates Attended Degree Received

2. SIGNIFICANT ACADEMIC AND EXTRACURRICULAR ACTIVITIES, HONORS, ACHIEVEMENTS, OR AWARDS RECEIVED BY YOU FROM EACH COLLEGE AND UNIVERSITY THAT YOU ATTENDED:

3. LAW SCHOOL YOU ATTENDED: Law School Address Dates Attended Degree Received

4. SIGNIFICANT ACADEMIC AND EXTRACURRICULAR ACTIVITIES, HONORS, ACHIEVEMENTS, OR AWARDS RECEIVED BY YOU FROM EACH LAW SCHOOL THAT YOU ATTENDED:





D. PROFESSIONAL QUALIFICATIONS AND SKILLS

1. LIST EACH COURT WHICH HAS ADMITTED YOU TO PRACTICE, EACH DATE OF ADMISSION, AND THE PERIOD OF EACH ADMISSION:

2. LIST IN CHRONOLOGICAL ORDER (beginning with your current job), EACH OCCUPATION THAT YOU HAVE HELD SINCE GRADUATION FROM LAW SCHOOL AND THE PERIOD IN WHICH YOU ENGAGED IN EACH OCCUPATION:





3. LIST THE NAMES OF EACH OF YOUR PRESENT AND FORMER EMPLOYERS, STATING THE RELEVANT PERIOD OF EMPLOYMENT FOR EACH. WITH RESPECT TO EACH EMPLOYER, IDENTIFY YOUR PARTNERS AND/OR SIGNIFICANT ASSOCIATES IN THE PRACTICE OF LAW.

4. LIST EACH ACTIVITY THAT YOU HAVE ENGAGED IN SINCE GRADUATION FROM LAW SCHOOL THAT YOU BELIEVE IS SIGNIFICANT OR RELEVANT TO THIS APPLICATION FOR JUDICIAL OFFICE AND THE DATE OF EACH ACTIVITY:





5. LIST OR DESCRIBE YOUR TYPICAL AREAS OF CONCENTRATION (e.g., real property transactions, commercial litigation, personal injury litigation, insurance defense, etc.) DURING THE LAST FIVE-YEAR PERIOD OF YOUR LAW PRACTICE. IF YOU ARE A JUDGE, PLEASE ALSO DESCRIBE THE TYPE(S) OF CASES YOU HAVE ADJUDICATED IN YOUR CURRENT TERM OF OFFICE.

6. DESCRIBE CLIENTS WHOM YOU REPRESENTED DURING THE LAST FIVE-YEAR PERIOD OF YOUR LAW PRACTICE:





7. WITH RESPECT TO YOUR LEGAL WORK (or judicial work, as applicable) DURING THE LAST FIVE YEARS, PLEASE DESCRIBE THREE OF THE MOST IMPORTANT, CHALLENGING, COMPLEX OR NOVEL LEGAL ISSUES WITH WHICH YOU HAVE DEALT AND DESCRIBE YOUR ROLE IN THE PROCESS.



_____________



8. IF YOU ARE NOT A FULL-TIME JUDGE, WHAT PERCENTAGE OF YOUR TIME DURING THE LAST FIVE-YEAR PERIOD OF YOUR LAW PRACTICE WAS RELATED TO:

CIVIL TRIAL LITIGATON?

CIVIL APPELLATE LITIGATION?

CRIMINAL TRIAL LITIGATION?

CRIMINAL APPELLATE LITIGATION?

FAMILY COURT (TRIAL OR APPELLATE LITIGATION)?

ADMINISTRATIVE OR REGULATORY AGENCY MATTERS?

CORPORATE OR TRANSACTIONAL WORK?

NEUTRAL (MEDIATOR, ARBITRATOR, EXPERT) WORK?

OTHER?_____________________________________________��

TOTAL 100%:

9. IF YOU ARE PRESENTLY A FULL-TIME JUDGE, WHAT PERCENTAGE OF YOUR TIME DURING THE LAST FIVE-YEAR PERIOD WAS DEVOTED TO:

CIVIL TRIAL LITIGATION?

CIVIL APPELLATE LITIGATION?

CRIMINAL TRIAL LITIGATION?

CRIMINAL APPELLATE LITIGATION?

FAMILY COURT (TRIAL OR APPELLATE LITIGATION)?

ADMINISTRATIVE OR REGULATORY AGENCY MATTERS?

TOTAL 100%:





10. CIVIL JURY TRIAL CASES: Number of civil cases you have tried to a jury: Number of those cases tried to verdict: Number of those cases as Lead Counsel: Number of those cases as Secondary Counsel (second or third chair): General description(s) of those case(s) tried to verdict:

11. CIVIL NON-JURY TRIAL CASES: Number of civil cases you have tried to a judge: Number of those cases tried to decision: Number of those cases as Lead Counsel: Number of those cases as Secondary Counsel (second or third chair): General description(s) of those case(s) tried to decision:

12. CRIMINAL JURY TRIAL CASES: Number of criminal cases you have tried to a jury: Number of those cases tried to verdict: Number of those cases as Lead Counsel: Number of those cases as Secondary Counsel (second or third chair): General description(s) of those case(s) tried to verdict:

13. CRIMINAL NON-JURY TRIAL CASES: Number of criminal cases you have tried to a judge: Number of those cases tried to decision: Number of those cases as Lead Counsel: Number of those cases as Secondary Counsel (second or third chair): General description(s) of those case(s) tried to decision:





14. LIST NO MORE THAN FIVE OF THE MOST SIGNIFICANT CASES IN WHICH YOU HAVE ACTED AS AN APPELLATE COUNSEL:

Total Appellate Cases:

Most significant Appellate cases:1. Identify and summarize nature of the case on appeal:

Role:

2. Identify and summarize nature of the case on appeal:

Role:


Role:


Role:


Role:





15. LIST NO MORE THAN THREE OF THE MOST SIGNIFICANT ARBITRATION, REGULATORY AND ADMINISTRATIVE PROCEEDINGS IN WHICH YOU HAVE OCCUPIED AN IMPORTANT ROLE AS LEAD COUNSEL.

Total cases served as Lead Counsel:

Most significant cases: 1. Identify case:

Legal Issue(s) & Resolution:

2. Identify Case:


3. Identify Case:






16. LIST NO MORE THAN THREE OF THE MOST SIGNIFICANT ARBITRATION, REGULATORY AND ADMINISTRATIVE PROCEEDINGS IN WHICH YOU HAVE OCCUPIED AN IMPORTANT ROLE AS THE ARBITRATOR/HEARINGS OFFICER.

Total cases served as the Neutral:

Most significant cases: 1. Identify Case:


2. Identify Case:


3. Identify Case:






17. LIST PUBLICATIONS FOR WHICH YOU HAVE OCCUPIED A SIGNIFICANT ROLE, AND DESCRIBE YOUR ROLE. IF YOU WISH, YOU MAY ATTACH A COPY OF EACH PUBLICATION THAT YOU BELIEVE MAY STRENGTHEN YOUR APPLICATION FOR THE JUDICIAL OFFICE COVERED BY THIS APPLICATION. IF YOU HAVE PERFORMED A SIGNIFICANT ROLE IN NUMEROUS PUBLICATIONS, YOU MAY LIMIT YOUR ANSWER TO THE FIVE MOST SIGNIFICANT PUBLICATIONS.




E. PROFESSIONAL AND COMMUNITY ACTIVITIES

1. LIST EACH ACADEMIC, POLITICAL, APPOINTIVE, AND PUBLIC OFFICE THAT YOU HAVE HELD SINCE GRADUATION FROM LAW SCHOOL AND THE DATES OF EACH POSITION:

2. LIST YOUR SIGNIFICANT “PRO BONO LEGAL SERVICES” ACTIVITIES (i.e., legal work or work in your capacity as an attorney undertaken voluntarily and without payment, or at a substantially reduced fee, as a public service to persons and legal service providers or law associations who are unable to pay) THAT YOU HAVE ENGAGED IN SINCE LAW SCHOOL AND THE DATES OF EACH ACTIVITY:

3. PER THE HAWAIʻI RULES OF PROFESSIONAL CONDUCT, RULE 6.1, HOW MANY HOURS HAVE YOU PROVIDED PRO BONO LEGAL SERVICES OR IN LIEU OF PROVIDING HOURS MADE A MONETARY CONTRIBUTION IN THE PAST THREE YEARS? DESCRIBE IN GENERAL THE HOURS OR MONETARY CONTRIBUTIONS:





4. PLEASE IDENTIFY ANY AND ALL PROCEEDINGS OR TRANSACTIONS IN WHICH YOU PROVIDED PRO BONO PUBLICO LEGAL SERVICES REPRESENTATION FOR A PARTY OR WITNESS WHO WAS NOT A RELATIVE, FRIEND, OR PERSON TO WHOM YOU OWED ANYTHING QUID PRO QUO.

5. LIST EACH SIGNIFICANT CONTINUING EDUCATION COURSE OR PROFESSIONAL IMPROVEMENT SEMINAR OR ACTIVITY THAT YOU HAVE COMPLETED WITHIN THE LAST FIVE YEARS.





6. LIST SIGNIFICANT ACTIVITIES IN PROFESSIONAL ORGANIZATIONS AND THE APPROXIMATE DATES OF EACH ACTIVITY:

7. LIST ACTIVITIES IN CIVIC OR CHARITABLE ORGANIZATIONS AND THE APPROXIMATE DATES OF EACH ACTIVITY:




F. PROFESSIONAL RESPONSIBILITY

1. HAVE YOU EVER BEEN ADMONISHED OR DISCIPLINED FOR: (a) A BREACH OF THE CODE OF PROFESSIONAL RESPONSIBILITY; (b) A BREACH OF THE GUIDELINES OF PROFESSIONAL COURTESY AND CIVILITY

FOR HAWAIʻI LAWYERS; (c) PROFESSIONAL MISCONDUCT; (d) MALPRACTICE SUIT; OR (e) PROFESSIONAL NEGLIGENCE? □ YES □ NO

2. IF THE ANSWER TO ANY PART OF THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COMPLETE EXPLANATION:

3. HAS YOUR CONDUCT EVER BEEN (1) THE SUBJECT OF A COMPLAINT BEFORE A COURT, ADMINISTRATIVE BODY, OR OFFICIAL COMMITTEE (including any Review Board investigating a workplace complaint), OR (2)(a) FOUND BY SUCH A BODY TO HAVE CONSTITUTED MISCONDUCT, (b) FOUND BY SUCH A BODY TO WARRANT SANCTIONS IN EXCESS OF $100 OR (c) REFERRED BY SUCH BODY TO THE OFFICE OF DISCIPLINARY COUNSEL OR OTHER DISCIPLINARY BODY? □ YES □ NO

4. IF THE ANSWER TO ANY PART OF THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COMPLETE EXPLANATION:




5. HAS YOUR BEHAVIOR OR CONDUCT EVER BEEN CRITICIZED OR BEEN A SUBJECT OF DISCUSSION IN A WRITTEN DECISION BY ANY COURT? □ YES □ NO

6. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COPY OF THAT DECISION AND A COMPLETE EXPLANATION:

7. IS A CASE PENDING IN ANY COURT, GOVERNMENT AGENCY, COMMISSION, OR DISCIPLINARY BODY CONCERNING YOUR BEHAVIOR OR CONDUCT? □ YES □ NO

8. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE STATE THE NAME OF THE CASE, THE CASE NUMBER AND A COMPLETE EXPLANATION:

9. WHAT, IF ANYTHING, IN YOUR BACKGROUND AND EXPERIENCE, BOTH PERSONAL AND PROFESSIONAL, MIGHT, IF DISCLOSED, COULD BRING NEGATIVE REACTIONS DURING THE SENATE CONFIRMATION PROCESS AND ADVERSELY AFFECT YOUR NOMINATION TO THE COURT? This could include such topics as social media postings, personal actions, or other’s view of your behavior. WE WILL REQUIRE YOU TO DISCLOSE ALL SUCH ACTION OR STATE THAT THERE IS NONE, AND, WHEN IN DOUBT, IT IS BEST TO DISCLOSE:




G. CODE OF JUDICIAL CONDUCT

1. HAVE YOU EVER HELD AN OFFICE TO WHICH THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT APPLIED? IF YOUR ANSWER TO THIS QUESTION IS YES, PLEASE ANSWER QUESTION 2. IF THE ANSWER IS NO, PLEASE GO TO QUESTION 5. □ YES □ NO

2. PLEASE IDENTIFY THE OFFICE AND THE PERIOD DURING WHICH YOU HELD THE OFFICE.

3. HAVE YOU EVER BEEN FOUND TO HAVE VIOLATED THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT, OR BEEN ADMONISHED FOR FAILURE TO ADHERE TO THE PRINCIPLES OF PROFESSIONALISM FOR HAWAIʻI JUDGES? □ YES □ NO

4. IF YOUR ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COMPLETE REPORT ON THE MATTER:

5. CANON 1 OF THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT STATES THAT A JUDGE SHALL UPHOLD AND PROMOTE THE INDEPENDENCE, INTEGRITY, AND IMPARTIALITY OF THE JUDICIARY AND SHALL AVOID IMPROPRIETY AND THE APPEARANCE OF IMPROPRIETY AT ALL TIMES. IF YOU ARE APPOINTED TO JUDICIAL OFFICE, IS THERE ANY REASON WHY YOU COULD NOT MEET THE REQUIREMENTS OF CANON 1 AND ITS RULES AND COMMENTARY? □ YES □ NO

6. IF YOUR ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COMPLETE EXPLANATION:





7. DO YOU HOLD A MEMBERSHIP IN ANY ORGANIZATION THAT PRACTICES INVIDIOUS DISCRIMINATION ON THE BASIS OF RACE, SEX, GENDER, RELIGION, NATIONAL ORIGIN, ETHNICITY, DISABILITY, AGE, SEXUAL ORIENTATION, MARITAL STATUS, SOCIOECONOMIC STATUS, OR PERSONAL CHARACTERISTICS? (See Canons 2 and 3, including without limitation Rule 3.6, of the Hawaiʻi Revised Code of Judicial Conduct)

□ YES □ NO 8. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE IDENTIFY THE

ORGANIZATION(S):

9. CANON 2 OF THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT STATES THAT A JUDGE SHOULD PERFORM THE DUTIES OF JUDICIAL OFFICE IMPARTIALLY, COMPETENTLY, AND DILIGENTLY. IS THERE ANY REASON WHY YOU COULD NOT MEET THE REQUIREMENTS OF CANON 2 AND ITS RULES AND COMMENTARY IF YOU ARE APPOINTED TO JUDICIAL OFFICE?

□ YES □ NO 10. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A

COMPLETE EXPLANATION:




11. CANON 3 OF THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT PROVIDES THAT A JUDGE SHOULD REGULATE PERSONAL AND EXTRAJUDICIAL ACTIVITIES TO MINIMIZE THE RISK OF CONFLICT WITH JUDICIAL DUTIES. IS THERE ANY REASON WHY YOU COULD NOT MEET THE REQUIREMENTS OF CANON 3 AND ITS RULES AND COMMENTARY IF YOU ARE APPOINTED TO JUDICIAL OFFICE? □ YES □ NO

12. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE PROVIDE A COMPLETE EXPLANATION:

13. DO YOU SERVE AS AN OFFICER, DIRECTOR, MANAGER, ADVISOR, OR EMPLOYEE OF ANY BUSINESS?

□ YES □ NO 14. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES:

(a) PLEASE STATE YOUR TITLE AND BUSINESS, AND (b) IF YOU ARE AN ATTORNEY APPLYING FOR JUDICIAL OFFICE, PLEASE STATE

WHETHER YOU WOULD BE ABLE TO MEET THE REQUIREMENTS OF CANON 2 AND ITS RULES AND COMMENTARY, INCLUDING WITHOUT LIMITATION RULES 3.11 AND 3.12.

(c) IF YOU ARE OR HAVE BEEN A JUDICIAL OFFICER, PLEASE STATE WHETHER YOU HAVE AT ALL TIMES BEEN IN COMPLIANCE THEREWITH.





15. CANON 4 OF THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT STATES THAT A JUDGE SHOULD REFRAIN FROM POLITICAL ACTIVITY THAT IS INCONSISTENT WITH THE INDEPENDENCE, INTEGRITY OR IMPARTIALITY OF THE JUDICIARY. IS THERE ANY REASON WHY YOU COULD NOT MEET THE REQUIREMENTS OF CANON 4 AND ITS RULES AND COMMENTARY IF YOU ARE APPOINTED TO JUDICIAL OFFICE?



17. DO YOU HAVE ANY INTERESTS, ACTIVITIES, OR RELATIONSHIPS WHICH WOULD PREVENT YOU FROM DISCHARGING YOUR DUTIES AS A JUDICIAL OFFICER IN A MANNER CONSISTENT WITH THE HAWAIʻI REVISED CODE OF JUDICIAL CONDUCT AND, THEREFORE REQUIRE YOU TO RECUSE YOURSELF?

□ YES □ NO 18. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE EXPLAIN IN

DETAIL THE LIMITATION:





H. CRIMINAL RECORD

1. HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR OR FELONY; OR HAVE YOU MOVED FOR A DEFERRED ACCEPTANCE OF NO-CONTEST OR GUILTY PLEA AFTER BEING CHARGED WITH COMMISSION OF A MISDEMEANOR OR FELONY?

□ YES □ NO 2. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE STATE THE

NATURE, DATE, AND VENUE OF THE CONVICTION/PLEA; THE CRIMINAL NUMBER OR CASE NUMBER OF THE CONVICTION/PLEA; THE COURT IN WHICH THE CHARGE WAS FILED; THE NAMES OF THE PROSECUTORS AND DEFENSE COUNSEL INVOLVED; THE NAMES OF PRESIDING MAGISTRATES AND JUDGES; AND THE RESOLUTION OF THE MATTER:

3. HAVE YOU BEEN CONVICTED OF ANY VIOLATION OF LAW, RULE, OR REGULATION OF: (a) THE UNITED STATES; (b) ANY OTHER STATE OR LOCAL GOVERNMENT ENTITY; (c) ANY FOREIGN COUNTRY; OR (d) HAVE YOU MOVED FOR DEFERRED ACCEPTANCE OF A NO-CONTEST OR

GUILTY PLEA AFTER BEING CHARGED FOR SUCH A VIOLATION?

THIS QUESTION DOES NOT APPLY TO MINOR TRAFFIC CONVICTIONS FOR WHICH A FINE OF U.S. $150.00 OR LESS WAS IMPOSED.


COMPLETE EXPLANATION OF THE CONVICTION AND THE RESOLUTION OF THE MATTER:





I. LITIGATION

1. HAVE YOU EVER BEEN NAMED AS A PARTY TO A LAWSUIT, AN ADVERSARY PROCEEDING IN ARBITRATION, OR IN ANY ADMINISTRATIVE AGENCY PROCEEDING?


COMPLETE DESCRIPTION OF THE NATURE OF THE LITIGATION; THE DATES, CASE NUMBERS, AND VENUES OF THE LITIGATION; YOUR ROLE IN THE LITIGATION; THE NAMES OF PARTIES, COUNSEL, AND PRESIDING JUDGE IN THE LITIGATION; AND THE FINAL RESOLUTION.

3. HAVE YOU BEEN INVOLVED IN A BANKRUPTCY PROCEEDING AS A PETITIONER OR HAVE YOU BEEN A PARTNER, OFFICER, DIRECTOR, OR HOLDER OF MORE THAN 25% OF THE ISSUED AND OUTSTANDING SHARES OF STOCK IN AN ENTITY THAT HAS FILED FOR BANKRUPTCY?


COMPLETE EXPLANATION OF THE PROCEEDING, INCLUDING THE CASE NUMBER; THE DATE OF FILING; THE COURT; COUNSEL; AND THE PRESIDING MAGISTRATE, REFEREE, COMMISSION, OR JUDGE; AND THE RESOLUTION OF THE MATTER.





5. HAVE YOU, OR ANY ENTITY IN WHICH YOU HAVE AN OWNERSHIP INTEREST, BEEN THE SUBJECT OF A FEDERAL OR STATE TAX COLLECTION, ENFORCEMENT, AND/OR LIEN ACTION? THIS INQUIRY DOES NOT APPLY TO PURELY PASSIVE MINORITY SHAREHOLDINGS IN COMPANIES LISTED ON STOCK EXCHANGES.



7. HAVE YOU, AND ALL ENTITIES OWNED IN WHOLE OR IN PART BY YOU, FILED ALL FEDERAL, STATE, AND LOCAL TAX RETURNS (e.g., income, general excise tax, real property, and employment benefit assessments such as FUTA or FICA) THAT ARE NOW DUE AND ARE ALL PAYMENTS OF TAXES CURRENT?

□ YES □ NO 8. IF THE ANSWER TO THE PREVIOUS QUESTION IS NO, PLEASE PROVIDE A






J. HEALTH

1. WHAT IS THE CONDITION OF YOUR HEALTH?

2. DO YOU HAVE ANY PHYSICAL, MENTAL, OR EMOTIONAL CONDITION THAT WOULD RESTRICT OR LIMIT YOUR JUDICIAL DUTIES OR BE LIKELY TO PRECLUDE YOU FROM SERVING A FULL TERM OF OFFICE?

□ YES □ NO 3. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE EXPLAIN:

4. DO YOU EVER CONSUME ALCOHOL OR OTHER DRUGS, INCLUDING PRESCRIPTION DRUGS, IN SUCH A MANNER THAT WOULD AFFECT YOUR PERFORMANCE AS A JUDGE?

□ YES □ NO 5. IF THE ANSWER TO THE PREVIOUS QUESTION IS YES, PLEASE EXPLAIN:

K. ADDITIONAL QUALITIES

1. PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT YOU DEEM APPROPRIATE IN SUPPORT OF YOUR APPLICATION:





L. REFERENCES Please mail the standard letter on Page 30 to the references you listed in (a), (b) and (c), including the judges for Case Numbers 1 &2, at the time that you submit your Application for Judicial Office to the Commission and not later than the application deadline date.

PLEASE NOTE that the persons you list on your application as references, and persons with whom you have tried cases, will be

asked to provide references. References from these persons are CONFIDENTIAL and will only be reviewed by the Commissionmembers/staff. Do not list the Governor, Chief Justice and any members of the State Senate, State of Hawaiʻi as a reference. They are part of the appointment process and often decline to provide references on that basis.

(a) List two persons (preferably lawyers/judges) who have firsthand knowledge of your professional competence and qualifications for judicial position.

Name:

Name:

(b) List two persons who have firsthand knowledge of your general character and background.

Name:

Name:

(c) List the names of the Judge, and two attorneys who represented opposing parties, in recent court cases in which you did significant work as an advocate. If you are a current Judge or hearing officer, you may list cases based on that experience. PLEASE DO NOT LIST PENDING CASES. This is an inquiry into the nature and extent of your experience in a courtroom. If you have no courtroom experience, please check the appropriate box.

□ No courtroom experience Case Number 1 (went to trial): Case Number:

Case Name:

Judge Name:

Brief description of case:

Outcome/Disposition:

Attorneys Involved (lead counsel for opposing parties):Name:Name:

Case Number 2 (did not go to trial) : Case Number:

Case Name:

Judge Name:

Brief description of case:

Outcome/Disposition:

Attorneys Involved (lead counsel for opposing parties):Name:Name:





Date:

To Whom It May Concern:

You have been listed as a reference by an applicant for a judicial position. He or she has been requested to contact you and provide you with this letter to advise you that the Judicial Selection Commission is considering his/her application, and that we would like to hear from you regarding this applicant.

Applicant name:

The State of Hawaiʻi judicial office(s) the applicant has applied for is/are: 1. 2. 3. 4. 5.

Please take a few minutes of your time to fill out the Judicial Vacancy Reference Form-1, form JS-P-079 available on the Commission’s website at http://www.courts.state.hi.us/jsc.

Please do not list the Governor, Chief Justice and any members of the State Senate, State of Hawaiʻi as a further reference for the applicant. They are part of the appointment process who often decline to provide references on that basis.

Your completed reference form is CONFIDENTIAL and reviewed solely by the Commission members/staff. It is not provided to the applicant.

The Commission does not receive e-mail transmissions. Please mail, fax or deliver the original form within 14 days of the date of this letter to:

Judicial Selection Commission 417 South King Street

Honolulu, Hawaiʻi 96813 FAX: (808) 538-5205



http://www.courts.state.hi.us/jsc



M. APPEAL DECISIONS

(APPLIES ONLY TO DISTRICT COURT, CIRCUIT COURT AND INTERMEDIATE COURT OF APPEALS JUDGES, INCLUDING PER DIEM DISTRICT AND DISTRICT FAMILY COURT JUDGES.) WRITTEN RESPONSES TO THIS SECTION MAY BE PLACED ON THIS APPLICATION IN THE SPACES PROVIDED OR SUBMITTED AS AN ATTTACHMENT.

1. STATE THE FULL CITATION AND SUMMARY CONCLUSION (e.g., reversed, vacated and remanded, etc.) OF ANY APPELLATE DECISION THAT DID NOT FULLY AFFIRM A DECISION YOU RENDERED DURING YOUR TERM(S) IN JUDICIAL OFFICE. PLEASE ATTACH A COPY OF ALL UNPUBLISHED DECISIONS THAT YOU HAVE NOT PREVIOUSLY REPORTED TO THIS COMMISSION.





N. PENDING MATTERS

(APPLIES ONLY TO DISTRICT COURT, CIRCUIT COURT AND INTERMEDIATE COURT OF APPEALS JUDGES, INCLUDING PER DIEM DISTRICT AND DISTRICT FAMILY COURT JUDGES.) WRITTEN RESPONSES TO THIS SECTION MAY BE PLACED ON THIS APPLICATION IN THE SPACES PROVIDED OR SUBMITTED AS AN ATTACHMENT.

1. IF YOU HAVE ANY PENDING ORDERS WHICH HAVE NOT BEEN ISSUED WITHIN 60 DAYS FOLLOWING A HEARING ON A MOTION, PLEASE PROVIDE THE COMMISSION WITH THE NAME OF THE CASE AND THE DATE OF THE HEARING.

2. IF YOU PRESIDED OVER A JURY-WAIVED TRIAL AND A DECISION HAS NOT BEEN RENDERED WITHIN 120 DAYS OF THE END OF THE TRIAL TO DATE, PLEASE PROVIDE THE NAME OF THE CASE AND THE DATE OR DATES OF THAT JURY-WAIVED TRIAL.

3. IF YOU HAVE ANY OTHER SUBSTANTIVE MATTER THAT HAS BEEN PENDING FOR MORE THAN 60 DAYS, PLEASE BRIEFLY DESCRIBE THE MATTER AND STATE THE DATE WHEN THE MATTER BECAME PENDING.





WRITING SAMPLE:

If you are applying for any appellate judicial office, please submit a writing sample.

Attach ONLY ONE copy of a legal writing prepared solely by you in the last five years. The writing may be a brief, memorandum of law, law article, or legal opinion of 5-15 pages in length. Please choose a sample that reflects your ability to do legal research and analysis. If you do not have a good sample of this length, include an excerpt from a longer writing. Make sure the sample contains sufficient facts to make it understandable. (Some reply briefs may not meet these requirements). Please do not submit: (a) coauthored writing samples, (b) samples with confidential information unless redacted to remove such information, (c) longer writing samples.

Please place your writing sample right after this page and mark it as Exhibit A.




NOTE: No application can ensure completely that all relevant information is provided. However, as an appointee for a judicial vacancy, your personal and professional experiences will be evaluated and scrutinized in the Senate confirmation process. Our goal is that you disclose to the Judicial Selection Commission all possible experiences or topics. Therefore, in the Professional Responsibility section of the application (Page 20, Section F, Question 9), we ask you to disclose all possible experiences or topics (if applicable).

Dated: _________________, Hawaiʻi, ___________________________________, 20_______,

Applicant’s signature:_____________________________

STATE OF HAWAIʻI ) ) SS.

CITY & COUNTY OF _________________________)

With regard to the Application for Judicial Office, form JS-P-084, dated _______________which consists of __________ pages and Attachments 1, 2, 3, and 4: On this _____ day of _______________, 20____, before me personally appeared _______________________________________, known to me to be the person described herein, and who, being duly sworn, did say that he/she is the said applicant named in the foregoing instrument, and that applicant executed the instrument as applicant’s own free act and deed, and has read the answers and response set forth in the Application for Judicial Office and is aware of the contents of each question and response; that the responses are true and correct to the best of the applicant’s knowledge and belief.

Notary signature:________________________________________ Notary Public, _______________ Judicial Circuit, State of Hawaiʻi My Commission expires: _________________________________

(Notary Stamp or Seal)

Doc. Date:___________________________________________ #Pages:_______________

Notary Name: _______________________________________ Circuit:________________

Doc. Description:___________________________________________________________

Notary Signature:_____________________________________ Date:_________________ NOTARY CERTIFICATION (Notary Stamp or Seal)




CONFIDENTIAL INFORMATION

If you are selected as a nominee for judicial office by the Judicial Selection Commission, you may be asked by the appointing authority, the Hawaiʻi State Senate, and/or the Hawaiʻi State Bar Association to provide them with a copy of your full Application and any Supplemental Application.

Your full Application and any Supplemental Application(s) together with any and all attachments thereto and including credit reports submitted to the Commission are CONFIDENTIAL and the Commission does not provide them to anyone. Pursuant to the Judicial Selection Commission’s Rule 13B, the Commission provides only a factual summary solely to the appointing authority based on information you provide in your full Application or any Supplemental Application.

However, you are entitled to provide a copy of your Application and Supplemental Application of your own volition. Please note that once surrendered, it then may become public.

The following Attachments seek confidential personal information used by the Commission to gather information to conduct background checks. The Commission has segregated this section from the remainder of the Application to make it easier for you to remove such privacy information before you volunteer the application to a public body. As always, the decision on whether to volunteer any part of the Application is left to the applicant to make.

Please use the computer to fill in your answers in the following attachments. Please do not fill out manually in handwriting.

Thank you.

Application for Judicial OfficeJudicial Selection CommissionForm JS-‐P-‐084 (revised 10/2014)




PART II:

1. CELLULAR TELEPHONE NUMBER:

2. E-MAIL:

3. SOCIAL SECURITY NUMBER:

4. DRIVER’S LICENSE NUMBER & STATE:

PART III:

1. STATE THE NAME AND ADDRESS OF YOUR PERSONAL PHYSICIAN:

2. STATE THE NAME AND ADDRESS OF THE PHYSICIAN WHO CONDUCTED YOUR MOST RECENT PHYSICAL EXAMINATION AND THE DATE OF THE EXAMINATION:

ATTACHMENT 1

Application for Judicial Office Judicial Selection Commission Form JS-P-084 (revised 4/2012)


______________________________________ ___________________________________

_____________________________________________________________________________


PART IV: WAIVER, AUTHORIZATION, AND RELEASE I am an applicant for judicial office. This Waiver, Authorization, and Release form is executed to assist the Judicial Selection Commission (“Commission”) in obtaining information and evaluating my application for judicial office.

I hereby waive any laws, rule, regulation, or legal principle limiting disclosure or prescribing confidentiality of, or limiting access to, information that is deemed by the Commission to be relevant to evaluating my application. I specifically acknowledge that this waiver applies to the release to the Commission of credit history or credit report information and their use by the Commission that may be subject to restrictions under Act 1, Special Session of Hawaiʻi 2009.

Furthermore, I authorize anyone having access, custody, or control of any information pertaining to me to furnish to the Commission all information deemed by the Commission to be relevant to evaluating my application including, without limitation, information from the Commission on Judicial Conduct, Department of Taxation, Hawaiʻi Criminal Justice Data Center, Hawaiʻi State Bar Association Judicial Evaluations, Hawai‘i State Ethics Commission, Judicial Performance Program Evaluation Reports, Office of Disciplinary Counsel, all County Police Departments, all of my health care providers, and credit reporting agencies.

Furthermore, I release and discharge the Commission, its individual members, their agents and representatives, and any person furnishing documents, records, information, or data to the Commission from any and all liability of every nature and kind arising out of, relating to, or connected with the furnishing of documents, records, information, or data to the Commission, and the release and use of such documents, records, information, and data by the Commission.

Furthermore, I waive and release any rights that I have or may have in the future to the documents, records, information, or data concerning me gathered by the Commission or contained in the files and records of the Commission or any of its past, present and future members.

Dated:_________________, Hawaiʻi ___________________________________, 20 ________

Printed Name Signature

Printed Home Address/City/State/Zip Code:

Date of Birth: _____________________________Social Security Number: ________________

Home & Work Phone Numbers: ___________________________________________________

ATTACHMENT 2

Application for Judicial OfficeJudicial Selection CommissionForm JS-‐P-‐084 (revised 10/2014)




STATE OF HAWAIʻI ) ) SS.

CITY & COUNTY OF_________________)

With respect to the Application for Judicial Office, form JS-P-084, Attachment 1 and Attachment 2, dated ______________________________, which consist of three pages, including this page: On this ___ day of _____________, 20 ___, in the ___ Judicial Circuit of the State of Hawaiʻi, before me personally appeared ______________________________________________________________________, known to me to be the person described herein, and who, being duly sworn, did say that he/she is the said applicant named in the foregoing instrument, and that he/she executed said instrument as his/her own free act and deed.

Notary Signature _______________________________________ Notary Public, _______________Judicial Circuit, State of Hawaiʻi My Commission expires: ________________________________

(Notary Stamp or Seal)

Doc. Date:___________________________________________ #Pages:_______________

Notary Name: _______________________________________ Circuit:________________

Doc. Description:___________________________________________________________

Notary Signature:_____________________________________ Date:_________________ NOTARY CERTIFICATION (Notary Stamp or Seal)

ATTACHMENT 3



_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________ _______________________________________________



PART V: Letter to the Tax Department Oahu Collection Branch Chief Oahu Collections Branch Division Department of Taxation State of Hawaiʻi

Dear Sir or Madam:

I have submitted an Application for Judicial Office with the Judicial Selection Commission. As a part of the evaluation process, the Judicial Selection Commission is interested in my tax status. Therefore, this letter authorizes the Department of Taxation to advise the Judicial Selection Commission of my tax status in terms of whether I am current or in arrears. Thank you for your cooperation.

Very truly yours,

____________________________Dated:_____________ Signature

Printed Name

Home Address/City/State/Zip Code

Home and Work Phone Numbers

Date of Birth

Social Security Number

_____________________________Dated:_____________ Signature of Spouse

Printed Name of Spouse

Social Security Number of Spouse

ATTACHMENT 4



Application for Judicial officeTABLE OF CONTENTSA. INTRODUCTORY INFORMATIONB. CONSTITUTIONAL QUALIFICATIONS FOR APPOINTMENTC. EDUCATION HISTORYD. PROFESSIONAL QUALIFICATIONS AND SKILLSE. PROFESSIONAL AND COMMUNITY ACTIVITIESF. PROFESSIONAL RESPONSIBILITYG. CODE OF JUDICIAL CONDUCTH. CRIMINAL RECORDI. LITIGATIONJ. HEALTHK. ADDITIONAL QUALITIESL. REFERENCESM. APPEAL DECISIONSN. PENDING MATTERSWRITING SAMPLE:CONFIDENTIAL INFORMATION

Present occupation and job title:: Office Address, City, State, Zip Code and Telephone Number:: Full Name:: List each residential and office addresses that you have used during the ten-year period proceding this application for judicial office: Home Telephone Number:: Date of Birth:: Current Residnce Address, City, State, Zip Code:: If the answer to the previous question is yes, please state the date of the application(s) and the judicial office(s) for which the application(s) was/were submitted:: What judicial office(s) are you applying for pursuant to this application?: When were you licensed to practice law by the Supreme Court of Hawaii: How long have you practiced law in Hawaii?: If the answer to the previous question is yes, please provide a complete explanation:: College: Law school: Significant academic and extracurricular activities, honors, achievements, or awards received by you from each law school that you attended:: List each court which has admitted you to practice, each date of admission, and the period of each admission:: List in chronological order beginning with your current job, each occupation that you have held since graduation from law school and the period in which you engaged in each occupation:: List the names of each of your present and former employers, stating the relevant period of employment for each: With respect to each employer, identify your partners and/or significant associated in the practice of law:

List each activity that you have engaged in since graduation from law school that you believe is significant or relevant to this application for judicial office and the date of each activity:: Describe clients whom you represented during the last five-year period of your law practice:: Significant academic and extracurricular activities, honors, achievements, or awards received by you from each college and university that you attended:: With respect to your legal work during the last five years, please describe three of the most important, challenging, complex or novel legal issues with which you have dealt and describe your role in the process: Civil Trial Litigation: Civil Appellate Litigation: Criminal Trial Litigation: Criminal Appellate Litigation: Full Time Civil Trial Litigation: Full Time Civil Appellate Litigation: Full Time Criminal Trial Litigation: Full Time Criminal Appellate Litigation: Full Time Family Court (Trial or Appellate Litigation): Number of civil cases you have tried to a jury: Number of those cases as Lead Counsel - Non Jury Trial Cases: Number of those cases as Secondary Counsel (second or third chair - Non Jury Trial Cases): General description(s) of those case(s) tried to decision: Number of those cases tried to verdict: Number of those cases as Lead Counsel: Number of those cases as Secondary Counsel (second or third chair): General description(s) of those case(s) tried to verdict: Number of civil cases you have tried to a jury - criminal: General description(s) of those case(s) tried to verdict - criminal: Number of those cases tried to verdict - criminal: Number of those cases as Lead Counsel - criminal: Number of those cases as Secondary Counsel (second or third chair - criminal): Number of those cases as Lead Counsel - criminal non jury: Number of civil cases you have tried to a judge - criminal non jury: Number of those cases tried to decision - criminal non jury: General description(s) of those case(s) tried to decision - criminal non jury: Number of those cases as Secondary Counsel (second or third chair - criminal non jury: Total Appellate Cases: Other?: Neutral Work: Corporate: Administrative: Family Court: Other: total: 0total2: 0Number of civil cases: 2 Identify case: 2 Identify case 1: 2 Legal Issues and Resolution: 3 Identify case: 3 Identify case 1: 3 Legal Issues and Resolution: Legal Issues and Resolution: Identify and summarize nature of case on appeal 2: Role 2: Role 2a: Identify and summarize nature of case on appeal 3: Role 3: Role 3a: Identify and summarize nature of case on appeal 4: Role 4: Role 4a: Identify and summarize nature of case on appeal: Role 1a: Identify and summarize nature of case on appeal 1: Role 1: Identify and summarize nature of case on appeal 5: Role 5: Role 5a: Identify case 1: Number of civil cases you have tried to a judge non jury: Number of those cases tried to decision non jury: prohibitions pose any difficulties YES: Offprohibitions pose any difficulties NO: Offare you a citizen of the United States YES: Offare you a citizen of the United States NO: Offare you a resident of the state of Hawaii YES: Offare you a resident of the state of Hawaii NO: Offhave you previously submitted an application YES: Offhave you previously submitted an application NO: OffDated_2: Button4: Printed Name: Home AddressCityStateZip Code: Home and Work Phone Numbers: Date of Birth_2: Social Security Number_2: Dated_3: Printed Name of Spouse: Social Security Number of Spouse: Dated 1: Home Work Phone Numbers: Hawaii 1: 20_2: Print Name: Printed Home AddressCityStateZip Code: Date of Birth: Peronal Social Security Number: Cellular Telephone Number: State the Name and Address of the physician who conducted your most recent physical examination and the date of the examination: E Mail: Social Security Number: Driver's License Number and State: State the Name and Address of your Personal Physician: Button2: If you have any pending orders which have not been issued within 60 days following a hearing on a motion, please provide the commission with the names of the case and the date of the hearing: If you have any other substantive matter that has been pending for more than 60 days, please briefly describe that matter and state the date when the matter became pending: If you presided over a jury waived trial and a decision has not been rendered within 120 days of the end of the trial to date, please provide the names of the case and the date or dates of that jury waived trial: State the full citation and summary conclusion: 5: The State of Hawaii judicial offices the applicant has applied for is/are:

1: The State of Hawaii judicial offices the applicant has applied for is/are:




Attorney Involved name opposing parties b: name: name a: name 1: name b: Case Number 1: Case Name 1: Judge Name 1: Brief description of case 1: Outcome/Disposition 1: Outcome/Disposition 1a: Attorneys involved name 1: Attorney Involved name b: Case Number 2: Case Name 2: Judge Name 2: Brief description of case 2: Outcome/Disposition 2: Outcome/Disposition 2a: Attorneys involved name opposing parties 1: No courtroom experience: OffWhat is the condition of your health: Please provide any additional information that you deem appropriate in support of your application: preclude you from serving a full term of office YES: Offpreclude you from serving a full term of office NO: OffIf the answer to the previous question is yes, please explain: performance as judge YES: Offperformance as judge NO: OffIf the answer to the previous question is yes, please explain 5: minority shareholdings in companies listed on stock exchange YES: OffIf the answer to the previous question is yes, please provide a complete explanation 8: minority shareholdings in companies listed on stock exchange NO: OffIf the answer to the previous question is yes, please provide a complete explanation 6: due and are all payments of taxes current YES: Offdue and are all payments of taxes current NO: Offagency proceeding YES: OffIf the answer to the previous question is yes, please provide a complete explanation of the proceeding, including the case number; the date of filing; the court; counsel; and the presiding magistrate, referee, commission, or jugde; and the relosution of the matter: agency proceeding NO: OffIf the answer to the previous question is yes, please provide a complete description of the nature of the litigation; the dates, case number, and venues of the litigation; your role in the litigation; the names of parties, counsel, and presiding judge in the litigation; and the final resolution: entity that has filed for bankruptcy YES: Offentity that has filed for bankruptcy NO: Offmisdemeanor or felony YES: OffIf the answer to the previous question is yes, please provide a complete explanation of the conviction and the resolution of the matter: misdemeanor or felony NO: OffIf the answer to the previous question is yes, please state the nature, date, and venue of the conviction/plea: a fine of U: S: $150: 00 or less was imposed YES: Off00 or less was imposed NO: Off

If the answer to the previous question is yes, please explain in detail the limitation: If the answer to the previous question is yes, please provide a complete explanation 16: recuse yourself YES: Offrecuse yourself NO: OffIf the answer to the previous question is yes, and you are an attorney applying for judical office, please state whether you would be able to meet the requirements of canon 2 and its rules and commentary including without limitation rules 3: 11 and 3: 12:

appointed to judicial office YES: Offappointed to judicial office NO: OffIf the answer to the previous question is yes, please provide a complete explanation 12: of any business YES: Offof any business NO: Offdo you hold a membership in any organization YES: Offdo you hold a membership in any organization NO: OffIf the answer to the previous question is yes, please identify the organization(s): if you are appointed to judical office YES: Offif you are appointed to judical office NO: Offquestion 5 YES: OffIf your answer to the previous question is yes, please provide a complete explanation: question 5 NO: OffPlease identify the office and the period during which you held the office: professionalism for hawaii judges YES: Offprofessionalism for hawaii judges NO: OffIf your answer to the previous question is yes, please provide a complete report on the matter: rules and commentary YES: Offrules and commentary NO: Offwritten decision by any court YES: Offwritten decision by any court NO: OffIf the answer to the previous question is yes, please provide a copy of that decision and a complete explanation: your behavior or conduct YES: Offyour behavior or conduct NO: Offadmonished or decliplined for YES: OffIf the answer to the previous question is yes, please provide a complete explanation: admonished or decliplined for NO: OffIf the answer to any part of the previous question is yes, please provide a complete explanation: negligent or gulty of professional misconduct YES: Offnegligent or gulty of professional misconduct NO: OffList significant activities in professional organizations and the approximate dates of each activity: List activities in civil or charitable organizations and the approximate dates of each activity: Please identify all and all rpceedings or transactions in which you provided pro bono publico legal services representation for a party or witness who was not a relative, friend, or person to whom you owed anything quid pro quo: List each significant continuing education course or professional improvement seminar or activity that you have completed within the last five years: List each academic, political, appointive, and public office that you have held since graduation from law school and the dates of each position: Indicate how many hours you have reported to the supreme court as pro bono publico legal services activity in the past three years, and describe in general what activity or activities you engaged in with respect to those hours: List your significant pro bono publico legal services activities: List publication for which you have occupied a significant role, describe your role, and attach a copy of each publication that you believe may stengthen your application for the judicial office covered by this applicaiton: Identify case neutral: 3 Legal Issues and Resolution neutral: Identify case neutral 1: Legal Issues and Resolution neutral: 2 Identify case neutral: 2 Identify case neutral 1: 2 Legal Issues and Resolution neutral: 3 Identify case neutral: 3 Identify case neutral 1: Brief description of case 2a: Brief description of case 2b: Brief description of case 1a: Brief description of case 1b: Identify case: Total cases served as Lead Counsel: Total cases served as the Neutral: List or describe your typical area of concentration: Personal and Confidential date: Applicants name: licensed to practice law YES: Offlicensed to practice law NO: Offpractice law YES: Offpractice law NO: Offis your license to practice law active YES: Offis your license to practice law active NO: OffIf the answer to the previous question is yes, please state the name of the case, the case number and a complete explanation: What, if anything, in your background and experience, bothe personal and professional, might, if disclosed, could bring negative reactions during the senate confirmation process:

application for judicial officeapplication for judicial office and the date of each activity:...

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