VOLUSIA COUNTY BAR ASSOCIATION 2018 Judicial Election Questionnaire 1. Name 2. Position Applying for 3. Group 4. How long have you been a Florida resident? 5. Are you a registered voter? Yes No In which county are you registered? 6. Military Service (including Reserves) Service Branch Highest Rank Dates Rank at time of discharge Type of Discharge Awards Citations Service Branch Highest Rank Dates Rank at time of discharge Type of Discharge Awards Citations 7. Education College College Law School School Name Degree Graduation Year 8. Year Admitted to The Florida Bar 9. Employment a) Current Firm or Government Agency b) Title c) Describe the general nature of your current practice. If your practice is substantially different from your prior practice, include details of prior practice. Describe your typical clients or former clients and the problems for which they sought your services. Judges, 10 years prior to becoming a judge. 1
d) Employment History in the last 15 years. Judges, please include time on the bench and employment history for the time before you became a judge. Position Name of Firm or Agency Employment Dates 10. Court Appearances - What percentage of your appearance in courts in the last five years of practice was in: Judges, 5 years prior to taking the bench. COURT PERCENTAGE PRACTICE AREA PERCENTAGE Federal Appellate Civil Federal Trial Criminal Federal Other Family State Appellate Probate State Trial Dependency/Juvenile State Administrative Workers Comp/Administrative State Other Other TOTAL % TOTAL % Description for Other: In the last 10 years, how many (number) of the cases you have tried to verdict or judgment were: Jury? Non-Jury? Arbitration? Administrative Bodies? 11. Professional Admissions - List all courts, state bar admissions, administrative bodies having special admission requirements to which you have been admitted to practice and bar sections, board certifications and local legal associations of which you are a member. 12. Yes No Court Procedures - In the last ten years, have you been sanctioned for failing to meet any deadline imposed by court order? If so, provide details. 13. Yes No Disciplinary Actions - Within the last ten years, have you ever been formally reprimanded, sanctioned, demoted, disciplined, placed on probation, suspended or terminated by an employer or tribunal before which you have appeared? If so, state the circumstances under which such action was taken, the date(s) of such action and the resolution of such action. 2
14. Physical or Mental Impairment a. Yes No Do you currently have a physical or mental impairment which in any way limits your ability or fitness to properly exercise your duties as a member of the Judiciary in a competent and professional manner? b. Yes No If the answer to 12a is yes, are the limitations or impairments caused by your physical or mental health impairment reduced or ameliorated because you receive ongoing treatment (with or without medication) or participate in a monitoring or counseling program? c. Describe such problem and any treatment or program of monitoring or counseling. 15. Yes No During the last 10 years, have you even been declared legally incompetent or have you or your property been placed under any guardianship, conservatorship or committee? If so, provide details as to court, date and circumstances. 16. During the last 10 years: a. Yes No Have you unlawfully used controlled substances, narcotic drugs or dangerous drugs as defined by Federal and State Laws? b. Yes No Have you ever been reprimanded, demoted, disciplined, placed on probation, suspended, cautioned or terminated by an employer because of your alleged consumption of alcohol, prescription drugs or illegal drug use? c. Yes No Have you ever refused to submit to a test to determine whether you had consumed and/or were under the influence of alcohol or drugs? If yes, provide an explanation. 17. Business Involvement Judges, 5 years prior to taking the bench. a. If you are now an officer, director or otherwise engaged in the management of ay business enterprise, state the name of the enterprise, the nature of the business, the nature of your duties, and whether you intend to resign such position immediately upon your election to judicial office. b. Since being admitted to the Bar, have you ever been engaged in any occupation, business or profession other than the practice of law? If so, give details, including dates. 3
c. State whether during the past five years you have received any fees or compensation of any kind, other than for legal services rendered, from any business enterprise, institution, organization, or association. If so, identify the source of such compensation, the nature of the business enterprise, institution, organization or association involved and the dates such compensation was paid and the amounts. 18. Possible Bias or Prejudice Are there certain types of cases, entities or extended relationships or associations which would limit the cases for which you could sit as the presiding judge? Please list all types or classifications of cases or litigants for which you as a general proposition believe it would be difficult for you to sit as the presiding judge. Indicate the reason for each situation as to why you believe you might be in conflict. If you are currently serving on the bench, describe the type of cases from which you have recused yourself. 19. Miscellaneous a. Yes No Have you ever been convicted or a felony or a first degree misdemeanor? If yes, what charges? Where convicted? Date of Conviction? b. Yes No Have you pled nolo contendere or pled guilty to a crime which is a felony or a first degree misdemeanor? If yes, what charges? Where convicted? Date of Conviction? c. Yes No Have you had the adjudication of guilt withheld for a crime which is a felony or a first degree misdemeanor? If yes, what charges? Where convicted? Date of Conviction? 20. Yes No Have you ever been sued by a client? If so, describe suit and resolution. 21. Yes No Has any lawsuit to your knowledge been filed alleging malpractice because of action or inaction on your part? If so, describe suit and resolution. 4
22. Yes No Have you or your professional liability insurance carrier ever settled a claim against you for professional malpractice? If so, provide details of the claim and resolution. 23. Yes No Have you ever filed a personal petition in bankruptcy or has a petition in bankruptcy been filed against you? If so, provide details. 24. Yes No Have you ever owned more than 25% of the issued and outstanding shares or acted as an officer or director of any corporation by which or against which a petition in bankruptcy has been filed? If so, provide details. 25. Yes No Have you ever been party to a lawsuit either as a plaintiff or a defendant? If so, provide details. 26. Yes No Has there ever been a finding of probable cause or other citation issued against you or are you presently under investigation for a breach of ethics or unprofessional conduct by any court, administrative agency, bar association, or other professional group? If so, provide details. 27. Yes No To your knowledge within the last 10 years, have any of your current or former co-workers, subordinates, supervisors, customers or clients ever filed a formal complaint or formal accusation of misconduct against you with any regulatory or investigatory agency, or with your employer? If so, provide details and resolution of complaint. 5
28. Yes No Are you currently the subject of an investigation which could result in civil, administrative or criminal action against you? If so, provide details. 29. Yes No In the past 10 years, have you been subject to or threatened with eviction proceedings? If so, provide details. 30. Yes No Have you filed all past tax returns as required by federal, state, local any other government authorities? If not, provide details. 31. Yes No Has a tax lien ever been filed against you? If so, provide details. 32. Yes No In the last 10 years, have you belonged to a club or organization that in practice restricts its membership based on race, religion, national origin or sex? If so, detail the name and nature of the clubs or organizations, relevant policies and practices and whether you intend to continue as a member if you are elected to serve on the bench. 33. Describe and include dates of any pro bono legal work you have done in the last 5 years. Judges, 5 years prior to taking the bench. 34. Have you attended any continuing legal education during the past 5 years? If so, in what substantive areas? 6
35. Have you taught any courses on law or lectured at bar association conferences, law school forums, continuing legal education programs? If so, in what substantive areas? 36. Describe any additional education or other experience you have which would assist you in holding judicial office. 37. Explain the potential contribution you believe your election would bring to this position. I have read the foregoing questions carefully and have answered them truthfully, fully and completely. Name (typed name qualifies as signature) Date Completed 7