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Application To Serve On Bankruptcy Dispute Resolution Program Panel LBF J-1 - Maryland
| Application To Serve On Bankruptcy Dispute Resolution Program Panel Form. This is a Maryland form and can be used in Bankruptcy Court Federal . |
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APPENDIX A APPLICATION UNITED STATES BANKRUPTCY COURT DISTRICT OF MARYLAND BANKRUPTCY DISPUTE RESOLUTION PROGRAM PANEL Name: _______________________________________________________________________ Office Address: ________________________________________________________________ _____________________________________________________________________________ City State Zip Office Phone: ______________________ Office Fax: ________________________ Education: ____________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Professional licenses or memberships and accreditations: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Dispute Resolution Training: Yes ______ No ______ (a) U.S. Bankruptcy Court Training _______ (b) Other Training ________________________________________________________ _____________________________________________________________________________ Experience: ___________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Local Bankruptcy Form J-1 American LegalNet, Inc. www.FormsWorkFlow.com Counties in which you are willing to serve as a Resolution Advocate: _____________________________________________________________________________ _____________________________________________________________________________ If you are also applying to be a Compensated Resolution Advocate, rates charged: _____________________________________________________________________________ _____________________________________________________________________________ Additional Information: _________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ I hereby certify that the information set forth above is true and correct.1 I agree to serve for a minimum of one year and to act as an unpaid Resolution Advocate in matters, not to exceed one matter per calendar quarter. _________________________ Date ____________________________ Signature Local Bankruptcy Form J-1 Page Two It is the responsibility of the applicant to submit an amended application if any information contained on this application changes. 1 American LegalNet, Inc. www.FormsWorkFlow.com
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