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Alternative Dispute Resolution Provider Application - Texas
| Alternative Dispute Resolution Provider Application Form. This is a Texas form and can be used in Southern District District Court Federal . |
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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF TEXAS ALTERNATIVE DISPUTE RESOLUTION PROVIDER APPLICATION The requirements for listing as an ADR provider for the United States District Court for the Southern District of Texas are contained in Local Rule 16.4.E. Please answer all questions and return application ONLY between November 1 and January 31. PLEASE PRINT OR TYPE Name: Firm Name: __________________________________________ Address: _____________________________________________ _____________________________________________________ Telephone Number: ( ) Fax Number: ( ) Mail four (4) copies of COMPLETED APPLICATION and FEE SCHEDULE attached to: David Bradley, Clerk ATTN: ADR Deputy Clerk P.O. Box 61010 Houston, Texas 77208 E-Mail: License(s) to practice law: Date: ______________ Date: ______________ State: _____________ State: _____________ State Bar No.: ________________________ State Bar No.: ________________________ Date Admitted to Southern District of Texas Bar: ____________________ Hours of ADR training in a State Bar of Texas MCLE approved course. (Please submit written proof from the course sponsor of your satisfactory completion of the training and the number of MCLE hours for which credit was given.) Course: ______________________________________________________________________________________ Date: __________________ Sponsor: ______________________________________________ Hours: ______ Course: ______________________________________________________________________________________ Date: __________________ Sponsor: ______________________________________________ Hours: ______ ADR methods in which listing is sought: Mediation: _________ Mini-trial: _________ Summary Jury Trial: _________ Arbitration: _________ Substantive legal area(s) of experience: Intellectual Property _________ Property Rights _________ Contracts _________ Real Property _________ Torts _________ Civil Rights _________ Labor _________ Bankruptcy _________ Antitrust _________ Securities _________ ERISA _________ Other (please describe): _________________________________________________________________________ Divisions of the Southern District of Texas where available for ADR practice: Brownsville _______ Laredo _______ Corpus Christi _______ McAllen _______ Galveston _______ Victoria _______ Houston _______ All _______ (ADR proceedings will normally be conducted in the divisions in which the case is pending. Providers may not charge for travel from the division where they office to another division to conduct an ADR proceeding without prior approval of the parties.) Experience as ADR neutral: Number of cases mediated: _________ arbitrated: _________ summary/mini-trial judge: _________ Other information: ______________________________________________ _____________________________________________________________________________________________________ Do you commit to accept some cases for no fee or a reduced fee? _________ Applicant Signature: SDTX-ADR-1 10/12/2011 Date: American LegalNet, Inc. www.FormsWorkFlow.com
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