Washington County Tennessee Staff Attorney Application Name: Office Address: (including county) Office Phone: Facsimile: Email Address: Home Address: (including county) THIS APPLICATION IS OPEN TO PUBLIC INSPECTION AFTER BEING SUBMITED. PROFESSIONAL BACKGROUND AND WORK EXPERIENCE 1. State your present employment. 2. State the year you were licensed to practice law in Tennessee and give your Tennessee Board of Professional Responsibility number. 3. List all states in which you have been licensed to practice law and include your bar number or identifying number for each state of admission. Indicate the date of licensure and whether the license is currently active. If not active, explain. Application for Office of County Staff Attorney Page 1 of 9 April 2015
4. Have you ever been denied admission to, suspended or placed on inactive status by the Bar of any State? If so, explain. (This applies even if the denial was temporary). 5. List your professional or business employment/experience since the completion of your legal education. Also include here a description of any occupation, business, or profession other than the practice of law in which you have ever been engaged (excluding military service, which is covered by a separate question). 6. Describe the nature of your present law practice, listing the major areas of law in which you practice and the percentage each constitutes of your total practice. 7. Describe generally your experience (over your entire time as a licensed attorney) in trial courts, appellate courts, administrative bodies, legislative or regulatory bodies, other forums, and/or transactional matters. In making your description, include information about the types of matters in which you have represented clients (e.g., information about whether you have handled criminal matters, civil matters, transactional matters, regulatory matters, etc.). In responding to this question, please be guided by the fact that in order to properly evaluate your application, detailed information i s n e e d e d about your range of experience, your own personal work and work habits, and your work background, as your legal experience is a very important component of the evaluation. The failure to provide detailed information, especially in this question, will hamper the evaluation of your application. 8. Separately describe any matters of special note in trial courts, appellate courts, and administrative bodies. Application for Office of County Staff Attorney Page 2 of 9 April 2015
EDUCATION 9. List each college, law school, and other graduate school which you have attended, including dates of attendance, degree awarded, major, any form of recognition or other aspects of your education you believe are relevant, and your reason for leaving each school if no degree was awarded. PERSONAL INFORMATION 10. How long have you lived continuously in the State of Tennessee? 11. How long have you lived continuously in the county where you are now living? 12. State the county in which you are registered to vote. 13. Describe your military Service, if applicable, including branch of service, dates of active duty, rank at separation, and decorations, honors, or achievements. Please also state whether you received an honorable discharge and, if not, describe why not. 14. Have you ever pled guilty or been convicted or are you now on diversion for violation of any law, regulation or ordinance? Give date, court, charge and disposition. Application for Office of County Staff Attorney Page 3 of 9 April 2015
15. To your knowledge, are you now under federal, state or local investigation for possible violation of a criminal statute or disciplinary rule? If so, give details. 16. If you have been disciplined or cited for breach of ethics or unprofessional conduct by any court, administrative agency, bar association, disciplinary committee, or other professional group, give details. 17. Has a tax lien or other collection procedure been instituted against you by federal, state, or local authorities or creditors within the last five (5) years? If so, give details. 18. Have you ever filed bankruptcy (including personally or as part of any partnership, LLC, corporation, or other business organization)? ACHIEVEMENTS 19. List all bar associations and professional societies of which you have been a member within the last ten years, including dates. Give the titles and dates of any offices which you have held in such groups. List memberships and responsibilities on any committee of professional associations which you consider significant. List honors, prizes, awards or other forms of recognition which you have received since your graduation from law school which are directly related to professional accomplishments. RELEVANT EXPERIENCE 20. Please list any and all opportunities you have had through your legal career to take part in the drafting of resolutions, proclamations, ordinances, or preparing amendments to the same. Please provide examples of the work you have completed, further please identify the governmental body who was your employer through this process. Application for Office of County Staff Attorney Page 4 of 9 April 2015
21. Please provide examples of any written legal opinion you have completed as to the interpretation of county ordinances, city municipal ordinances, county resolutions, or county zoning laws. Please provide the name of the governmental body in which you provided said opinion. 22. List all occurrences in which you have provided counsel to any board or committee of a governmental body during an open meeting, further, please describe in detail your capacity, responsibilities, and your duties which you provided while serving as counsel. 23. In the course of your law practice, please provide examples of and describe the opportunities you have had to provide statutory interpretation of any relevant statute concerning the operation of a governmental entity. Insofar as interpreting the applicable statute, attorney general s opinion, and/or case law to a particular municipal or county entity; please provide a copy of said legal opinion if the same is available. 24. Through your practice, please list any cases and/or matters in which you have had the opportunity to interact with the media, including newspapers, radio, and television. Please indicate which media sources you have had interaction with in the past, list the matter in which the interaction pertained, and please indicate who you were providing Application for Office of County Staff Attorney Page 5 of 9 April 2015
representation of at the time of the interview. 25. Through your practice, please provide examples of opportunities you have had to prepare any operations or employment manual setting forth the requirements of a statute, and/or act, and its applicability to a governmental entity, please attach examples of the manual you prepared on behalf of your client. 26. If selected to serve as staff attorney for Washington County, you will be required to be well versed in several different areas of law which will be essential to your ability to serve effectively in this role. Please describe examples of your practice in the following particular areas: a. Real Estate Law b. Employment Law c. Representation of a Governmental Entity d. Contract Law e. Constitutional Law 27. Through your practice, please list any opportunities you have had to serve in a supervisory role; please expand upon your role in monitoring and providing updates to the client of the progress of the legal services. Application for Office of County Staff Attorney Page 6 of 9 April 2015
28. Please list all matters in which you have provided representation, either for or against, a county, city, utility district or any other governmental entity. Please provide direct citation to the case, court and case number of the matters. ESSAYS/PERSONAL STATEMENTS 29. Please provide a description what you feel your job duties would entail, and what your day-to-day requirements would be while serving as Staff Attorney for Washington County, Tennessee. (250 words or less) Application for Office of County Staff Attorney Page 7 of 9 April 2015
REFERENCES 30. List five (5) persons, and their current positions and contact information, who would recommend you for the Staff Attorney position for which you are applying. Please list at least two persons who are not lawyers. Please note that the Commission or someone on its behalf may contact these persons regarding your application. A. B. C. D. E. Application for Office of County Staff Attorney Page 8 of 9 April 2015
AFFIRMATION CONCERNING APPLICATION Read, and if you agree to the provisions, sign the following: I have read the foregoing questions and have answered them in good faith and as completely as my records and recollections permit. In the event any changes occur between the time this application is filed and the public meeting, I hereby agree to file an amended questionnaire. I understand that the information provided in this questionnaire shall be open to public inspection upon submission and the names of persons who apply for Staff Attorney may be publicized. Dated:, 2015. Signature When completed, return this questionnaire via e-mail to: Sherry Greene PO Box 219 Jonesborough, TN 37659 423-753-1666 sgreene@washingtoncountytn.org Application for Office of County Staff Attorney Page 9 of 9 April 2015