Standardized Attorney Application

Standardized Attorney (SA)

Application of Interest

Applicant Information

Today's Date:*

MM/DD/YYYY

First Name:*

Last Name:*

Address 1:*

Address 2:

City:*

State:*

Zip:*

Phone:*

Email:*

Approximately how many days are you available to be scheduled as an SA in one year?*

In what regions are you willing to work?

Central

Northeast

Philadelphia

Southeast

West

How did you hear about this role?*

Education

Education 1

College:*

City:*

State:*

From:*

MM/DD/YYYY

To:*

MM/DD/YYYY

Did you graduate?*

Degree:*

Education 2

College:*

City:*

State:*

From:*

MM/DD/YYYY

To:*

MM/DD/YYYY

Did you graduate?*

Degree:*

Education 3

College:

City:

State:

From:

MM/DD/YYYY

To:

MM/DD/YYYY

Did you graduate?

Degree:*

References

**Please list three professional references

Reference 1

Full Name:*

Company:*

City:*

State:*

Phone:*

Relationship:*

Reference 2

Full Name:*

Company:*

City:*

State:*

Phone:*

Relationship:*

Reference 3

Full Name:*

Company:*

City:*

State:*

Phone:*

Relationship:*

Employment History

**Please list in chronological order beginning with the most recent

Employment 1

Supervisor:*

Company:*

City:*

State:*

Phone:*

From:*

MM/DD/YYYY

To:*

MM/DD/YYYY

Job Title:*

Responsibilities:*

Employment 2

Supervisor:*

Company:*

City:*

State:*

Phone:*

From:*

MM/DD/YYYY

To:*

MM/DD/YYYY

Job Title:*

Responsibilities:*

Employment 3

Supervisor:*

Company:*

City:*

State:*

Phone:*

From:*

MM/DD/YYYY

To:*

MM/DD/YYYY

Job Title:*

Responsibilities:*

Disclaimer and Signature

The Pennsylvania Child Welfare Resource Center (CWRC) is seeking experienced solicitors and attorneys interested in participating as members of an educational team to deliver a new simulation-based course, The Dependency Court Process. This course provides a skills-based opportunity for new child welfare professionals to practice preparing for and testifying in a mock dependency court hearing. The role of the solicitor and attorney is to conduct a realistic direct or cross-examination and to deliver in-depth feedback to the learner in a constructive and strength-based manner.

The responsibilities of a “Standardized Attorney” include:

Familiarize themselves with case scenarios and standard questions sufficiently to conduct a realistic cross or direct examination through study and participation in a pre-training session

Portray the role of the solicitor or attorney with a high degree of fidelity to the case script and consistency Raise and respond to objections in a realistic manner Provide the learners feedback on their testimony based on the case scenario Complete an observation form for each learner

Collaborate and coordinate with CWRC staff and instructors to support an effective delivery of the simulation-based training session

Interested applications will meet the following criteria:

Current or former licensed attorney Practice experience in dependency court or other child related hearings Comprehensive knowledge of successful courtroom practice Experience in direct examination and cross-examination Excellent communication and analytic skills

Ability to exercise good judgement and to deliver feedback in a constructive and strength-based manner

Selected applicants will be offered a $300 honorarium for participation in each six-hour simulation-based training session.

I certify that my answers are true and complete to the best of my knowledge.

I understand this is not an application for employment. If selected, I understand my participation as a Standardized Attorney will not be construed as a relationship of employment. Standardized Attorneys will be offered a $300 honorarium for participation in each six (6) hour training session.

Date:*

Draw your signature
Clear