Judicial Arbitration: MAP Background Information
**Asterisks highlighted in red are required fields**
Personal Information
**
First Name:
Middle Initial:
**
Last Name:
**
Address (Line 1) Firm Name:
**
Address (Line 2):
**
City:
**
State:
**
Zip
-
Code:
Contact Information
**
Phone:(6501115555)
Fax:
Email Address:(johndoe@aol.com)
Website: (www.sanmateocourt.org)
Bar Information
**
BAR Number:
Date Admitted: (MM-DD-YYYY)
Current Bar Memberships (limit to 100 words):
Education & Background
**
Education Background:
**
Prior Practice: (List previous employers, describe type of practice, list relevant non legal employment)
**
Subject Matter Expertise: (At least one subject matter required)
Personal Injury:
Employment:
Business:
Real Estate:
Malpractice:
(Legal,Medical,Dental)
Construction:
Insurance:
Product Liability:
Accounting:
Other:
Representation
In current Personal Injury litigation practice,
% is on behalf of plaintiffs and
% is on behalf of defendants.
Arbitration Experience:
Describe your arbitration approach:
BRIEF Thumbnail paragraph (150 words or less):