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APPLICATION FOR LOUISVILLE, COLORADO MUNICIPAL COURT JUDGESHIP <br />AND DEPUTY MUNICIPAL COURT JUDGESHIP <br />The information you provide in the application is public information and will be released <br />upon request if the applicant's name is forwarded to the Louisville City Council as a <br />finalist for consideration of appointment. <br />PLEASE MARK WHICH POSITIONS YOU ARE INTERESTED IN APPLYING FOR: <br />❑ Presiding Judge <br />A. PERSONAL INFORMATION <br />1. Full Name: <br />2. Are you able to work in the United States on a full-time basis? <br />3. Are you an attorney at law admitted to practice in Colorado? <br />Attorney Registration Number? <br />4. Current Work Address: <br />5. Current Work Telephone Number: <br />6. List your place of residence for the past five years: <br />❑ Deputy Judge ❑ Either Position <br />If so, what is your <br />Dates <br />City <br />State <br />County <br />B. EDUCATIONAL BACKGROUND <br />7. List the names and locations of schools attended, beginning with high school. <br />Name <br />Location <br />Dates Attended <br />Degree <br />Page 1 of 5 <br />7 <br />