BACKGROUND INFORMATION REQUESTS …

                     BACKGROUND INFORMATION REQUESTS
                        FOR JUDICIAL CANDIDATES FOR
                       THE SUPREME COURT OF MISSOURI
                       OFFICE OF GOVERNOR MATT BLUNT

Please answer the questions in this document as completely and fully as you can. You may
attach anything you feel relevant. Other than personal information, you should expect that the
completed questionnaire and any attachments will be public. We understand that all information
sought may not be readily available. Please make your best effort. Where written materials are
requested but not available, please summarize them as best you can.

 1.      Full name

 2.      Residential address and phone number

 3.      Present employment address and phone number

 4.      E-mail address

 5.      Date and place of birth

 6.      Marital status. If married, provide full name of spouse and date of marriage. Also,
         please provide the full name of any former spouses.

 7.      How many years have you been a United States citizen?

 8.      For how many consecutive years have you been a qualified voter of the state of
         Missouri?

 9.      Please list all other states in which you have lived, with approximate dates.

 10.     Are you currently licensed to practice law in Missouri?

 11.     Provide date of admission to Missouri Bar and whether your license is now in good
         standing. If not, explain why not.

 12.     List all other jurisdictions, courts, and agencies in which you are admitted to practice.

 13.     Have you ever been denied admission to the bar of any jurisdiction, court, or agency?
         If so, explain.

 14.     Has your bar license in any jurisdiction been revoked, suspended, or disciplined? If so,
         explain.

 15.     Provide a detailed work history, to include all full-time jobs from age 18 to date. For
         all jobs, include the following: the name, address, and phone number of the employer;
         dates of employment; and title held. For legal employment and any non-legal
         employment of significance, include detailed descriptions of your activities and duties.

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      Please err on the side of providing too much detail rather than too little. Please include
      military service and provide the type of discharge for any completed service.

16.   Provide a detailed summary of all groups and organizations of which you are now a
      member or have been a member in the last 15 years. For each organization, provide the
      name of the organization, dates of membership, any offices or leadership positions you
      hold or held, and a summary of the group's mission or purpose.

17.   Have you or your spouse ever been a member of or worked for any organization that
      discriminates or discriminated on the basis of race, color, religion, national origin,
      ancestry, sex, disability, or familial status? If so, explain these policies and any actions
      you took to address them.

18.   Have you prepared, participated in the preparation of, or permitted use of your name on
      any reports, memoranda, or policy statements in connection with any public office? If
      yes, provide copies.

19.   For every lawsuit in which you have been a party, please provide the following: (a) list
      of all parties, including their designation as plaintiff, defendant, etc.; (b) copies of all
      complaints or petitions, answers, sworn testimony (written or oral), and dispositive
      orders and judgments; and (c) the style of the case, court (trial and appellate), and case
      numbers. If copies of the requested documents are not reasonably available, please
      summarize the facts, issues, and disposition of the case.

20.   Have you filed all tax returns and paid all taxes on time and without penalty? If not,
      explain.

21.   Have you, your family, or any organization in which you have been involved ever
      employed a person not lawfully in the United States? If yes, explain.

22.   Have you ever committed an act that would constitute a felony, even though you were
      not charged? If yes, explain.

23.   State the name and location of all colleges and universities attended (include non-law
      graduate schools), other than law school, and include dates attended and degrees
      awarded. Also, provide transcripts from all such institutions.

24.   List all college or university activities, awards, honors, and achievements.

25.   Were you ever academically disciplined by any college or university? If yes, explain.

26.   State the name and location of all law schools attended and include dates attended and
      degrees awarded. Also, provide transcripts from all such institutions.

27.   List all law school activities, awards, honors, and achievements.

28.   Have you ever been accused of plagiarism in any academic setting? If yes, explain.

29.   List all continuing legal education courses taught. Provide copies of any written
      materials you prepared.
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30.   List all presentations made to organized groups on topics of legal concern. Provide
      copies of any written materials you prepared.

31.   For each legal position held, provide a detailed summary of your trial court experience
      as an attorney, hearing officer, administrative judge, or judge. Please include the
      number of cases, the type of cases, the type of court or agency, and distinguish between
      civil and criminal and jury and non-jury trials.

32.   For each legal position held, provide a detailed summary of your appellate experience
      as an attorney or judge. Please include the number of cases and the type of cases.

33.   Provide a copy of one document you wrote that you feel demonstrates your work at its
      best.

34.   Provide copies of all books and articles of a legal nature that you have written.

35.   List all significant professional awards and recognitions you have received.

36.   List all significant professional activities.

37.   Describe your pro bono work as a lawyer.

38.   Identify all reasons that you anticipate could cause you not to participate in cases before
      the Missouri Supreme Court.

39.   Provide a summary of all testimony you have given before any legislative body.

40.   Describe your position on cameras in Missouri courtrooms, stating any distinctions in
      your positions among different types of courts.

41.   Describe your position on the Missouri Plan for selecting appellate judges.

42.   Describe your position on individual vs. centralized docketing in trial courts.

43.   Describe your position on compensation of Missouri judges.

44.   Describe your position on the scope of the Missouri Supreme Court's constitutional
      authority to superintend lower courts.

45.   Describe what you consider the most significant administrative issue facing the
      Missouri courts and provide your solution.

46.   Provide copies of all documents filed by you with the Missouri Ethics Commission or
      the Federal Election Commission or any campaign committee for which you were the
      candidate.




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 COMPLETE QUESTIONS 47-50 ONLY IF YOU HAVE SERVED AS A JUDGE

 47.    Provide copies of all evaluations of your judicial performance, including bar surveys
        related to retention.

 48.    Provide copies of all literature you produced related to any judicial election.

 49.    Provide copies of all documents you have ever filed or have had filed on your behalf
        (for example, by a campaign treasurer) with the Missouri Ethics Commission.

 50.    Have you ever been disciplined by a court or judicial commission? If yes, explain.




 I, _________________, hereby certify that all of my statements made above are correct to the
 best of my knowledge. I also certify that I, with only clerical assistance, am the author of all
 answers to all inquiries above.

Date: __________



Applicant signature: _________________________




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                                               RELEASE AND WAIVER


       I, (name) ____________________________________, born at (city, state) ___________

_____________________________, on (date) ____________________, and currently residing at (address)

____________________________________________________________, having applied for a governmental

appointment, hereby voluntarily consent to the potential disclosure to the public of all information collected in

the course of conducting background investigations by the Office of the Governor with regard to appointment as

judge to the Missouri Supreme Court. The disclosure will not include any personal financial, credit, or medical

records in the possession of the Office of the Governor and collected during the background investigation.

       I, along with my spouse (name) ____________________________, hereby release, discharge, and

exonerate the Office of the Governor and the State of Missouri, their agents and representatives, and any person

so furnishing information from any and all liability of every nature and kind arising out of the furnishing or

inspection of such documents, records, and other information or any investigation or report made by the above

persons or entities. A copy of this release shall have the same effect as the original.

       This authorization shall remain in full force and effect until the Office of the Governor is notified in

writing that this release has been revoked by the undersigned individual.



                                                      __________________________________________
                                                      (Signature)                   (Date)


                                                      __________________________________________
                                                      (Social Security Number)


                                                      __________________________________________
                                                      (Signature of Spouse)         (Date)




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