Attorney Information - Cmba Guardian Ad Litem Project printable pdf download

CMBA Guardian ad Litem Project

Attorney Information

Name:________________________________________________________Date:_________________________

Address:___________________________________________________________________________________

Phone:______________________ Fax:______________________ Email:_______________________________

Law School:__________________ OSC Registration #________________ Year Admitted:_________________

Are you an approved GAL in Cuyahoga County Juvenile Court?_______________________________________

Indicate the year of your initial GAL training:______________________________________________________

What GAL trainings you have attended in the current year? ___________________________________________

___________________________________________________________________________________________

Are you currently accepting GAL assignments?_____________________________________________________

How many GAL assignments are you limiting your practice to?

1___

2-5___

6-10___

11-15___

15+___

Languages other than English: (indicate level of competency, i.e. spoken, written, etc.) _____________________

___________________________________________________________________________________________

Please indicate if you have any special skills, education, or expertise that you believe will particularly assist you

in addressing child welfare case issues:____________________________________________________________

___________________________________________________________________________________________

Do you have any interest in training other GALs? If yes, in what areas?_________________________________

___________________________________________________________________________________________

Would you like the GAL Project to provide training in certain areas? If yes, in what areas?____________

___________________________________________________________________________________________

Have you ever been removed from any court’s assigned counsel or guardian ad litem appointment list? If yes,

please state the reason for your removal: __________________________________________________________

___________________________________________________________________________________________

Please state what action you have taken to correct the situation that caused your removal.____________________

___________________________________________________________________________________________

Have you ever been disciplined or suspended from the practice of law in Ohio or in any other state or the District

of Columbia? If yes, state the reason for the discipline or suspension and the dates of such action._____________

___________________________________________________________________________________________

Are you currently in good standing with the Supreme Court of Ohio?__________ If not, please

explain.____________________________________________________________________________________

Have you been convicted of any felonies or misdemeanors? __________ If so, please identify the case numbers

for each case and explain the charges._____________________________________________________________

___________________________________________________________________________________________

Attorney Information - Cmba Guardian Ad Litem Project