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Guardian Ad Litem Statement Of Qualifications - Washington
| Guardian Ad Litem Statement Of Qualifications Form. This is a Washington form and can be used in Family Law Superior Court Spokane Local County . |
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SUPERIOR COURT, STATE OF WASHINGTON SPOKANE COUNTY GUARDIAN AD LITEM STATEMENT OF QUALIFICATIONS -TITLE 26 Submitted by: _______________________________________ Date: _____________________________ This statement is presented as required by RCW 26.12.175(3), and is to be submitted as the application to the Family Law Guardian Ad Litem committee by an individual who wishes to serve a Family Law Guardian ad Litem: A. Knowledge, education, training and experience: 1) Level of formal education: ______________________________________________________________ 2) I have completed the 28 hours Office of the Administrator for the Courts state mandated Guardian ad Litem training program in Spokane County on October 5 and 6, 2000, and attended or viewed all required videotaped presentation. King County on_______________________________. Snohomish County on_______________________________. GUARDIAN AD LITEM STATEMENT OF QUALIFICATIONS TITLE 26 PAGE 1 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com Other_____________________________________________. 3) Other training related to Guardian ad Litem duties: ______________________________________________________________ ______________________________________________________________ 4) Number of appointments as a Guardian ad Litem: a. Spokane County, from ___________________ to present: b. Other counties (please specify which county and number of appointments in each), from ___________________ to present: 5) The state requires a criminal background check of a Guardian ad Litem. Please provide a completed Washington State Patrol background check (form attached). 6) Professional knowledge or experience in needs of children: (a) (b) (c) (d) (e) (f) (g) Of parents who are separating: ________________________________________________________ Of parents who have not lived together during the child's lifetime: ________________________________________________________ Who have no relationship with one of the natural parents: ________________________________________________________ Who have been sexually abused: ________________________________________________________ Who have been abused or neglected: ________________________________________________________ Who are subject of an adoption proceeding: ________________________________________________________ Who are minor parents in an adoption proceeding: PAGE 2 OF 4 GUARDIAN AD LITEM STATEMENT OF QUALIFICATIONS TITLE 26 American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________________________ Familiarity and experience with legal procedures involving RCW Title 26 domestic relations/family law matters: ________________________________________________________________ 7) Familiarity and experience in dealing with the provisions of the following statutes: (a) RCW 26.09 (dissolution of marriage): __________________________________________________________ (b) (c) (d) (e) RCW 26.26 (paternity): __________________________________________________________ RCW 26.10 (third party custody actions): __________________________________________________________ RCW 26.33 (adoptions): __________________________________________________________ RCW 26.44 (abused and neglected children): __________________________________________________________ 8) I am a member of the following professional organizations, associations or groups (please include dates of membership): ___________________________________________________________ A. Number of times I have been removed as a Guardian ad Litem (please include date, case number, and reason for removal): ___________________________________________________________ I certify under penalty of perjury under the laws of the State of Washington that the foregoing information is true and correct. DATED this _________ day of ___________________, 20___________. _______________________________________ Signature GUARDIAN AD LITEM STATEMENT OF QUALIFICATIONS TITLE 26 PAGE 3 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com Print Name Address Telephone (including area cod) WSBA number, if applicable GUARDIAN AD LITEM STATEMENT OF QUALIFICATIONS TITLE 26 PAGE 4 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com
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