ADR Neutrals Application

* Indicates Required Fields


* Email
* First Name
* Last Name
* Company Name
* Address Line 1
Address Line 2
* City
* State
* ZIP
* Country
* Day Phone
Fax
Nationality
Website URL
Preferred Assignments
Would you like to be considered for:
Surrogate Arbitrator
Surrogate Mediator
Rates:
Daily Rate
Hourly Rate
Prep Rate
Minimums
Travel Rate
Education and Licenses
Year College/University City/State Degree
 

Specify any licenses, jurisdiction and date of licensure: (Include Bar Admissions for law and/or other professional licenses that apply; i.e., Architect, Engineer, etc.) Please spell out acronyms.

 

License Year Issued State/Country Current (Y or N)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Judicial Experience
Please detail any judicial experience, starting with the most recent position first (in the top field) and working back.
Dates of Service Court City/State Title

Non-Judicial Work Experience
Please detail your work experience, starting with the most recent job first and working back. Use the codes in the table below to describe your duties.
Lawyer duties in this position
(1) Litigator (law firm, government, public interest)
(2) Partner
(3) Associate
(4) Managing Partner
(5) Shareholder
(6) Transactional attorney
(7) In-house counsel in any capacity
(8) General Counsel
(9) Assoc. General Counsel
(10) Arbitrator
(11) Mediator
(12) Law Professor: Full Time
(13) Adjunct Professor
(14) Other
Non-lawyer duties in this position
(15) Engineer: Civil Structural, Mechanical
(16) Architect
(17) Contractor
(18) Sub-Contractor
(19) President
(20) Vice President
(21) Director
(22) Head Division
(23) Corporate Business Person: (briefly identify division or department functions; e.g., Corporate Sales; Construction Management; Technology Development)
(24) Other
 
Dates of Service Company/Firm City/State Your Title Duties
See categories above
Primary Representaion P=Plaintiff D=Defendant
Blank if not applicable
P
D
P
D
P
D
P
D
P
D
P
D
ADR Neutral Experience
Arbitration
Overall Last 12 Months
Total # Arbitrator Service
# of total as Sole Arbitrator
# of total as Tribunal Chair
Mediation
Overall Last 12 Months
Total # Mediator Service
Areas of Expertise
Please indicate if you have a Primary Concentration (P) or a Sub-concentration (S) in each of the substantive areas below. Note – this chart refers to actual experience rather than areas of interest.
* As lawyer, business person, advocate or judge but not as arbitrator or mediator.
Substantive Area
* Professional Concentration or Specialties
Arbitrator Concentrations
Mediator Concentrations
Aviation
P
S
P
S
P
S
Accounting and Auditing
P
S
P
S
P
S
Antitrust
P
S
P
S
P
S
Asbestos
P
S
P
S
P
S
Banking
P
S
P
S
P
S
Bankruptcy
P
S
P
S
P
S
Class Action
P
S
P
S
P
S
Copyright
P
S
P
S
P
S
Construction
P
S
P
S
P
S
Contract
P
S
P
S
P
S
Entertainment
P
S
P
S
P
S
Environmental
P
S
P
S
P
S
False Advertising
P
S
P
S
P
S
Financial Services
P
S
P
S
P
S
FINRA
P
S
P
S
P
S
Franchise
P
S
P
S
P
S
Government Contracts
P
S
P
S
P
S
Government Related Matters
P
S
P
S
P
S
Healthcare
P
S
P
S
P
S
Insurance
P
S
P
S
P
S
Intellectual Property
P
S
P
S
P
S
International Law
P
S
P
S
P
S
International Disputes
P
S
P
S
P
S
Labor and Employment
P
S
P
S
P
S
Maritime
P
S
P
S
P
S
Medical Devices
P
S
P
S
P
S
Medical Malpractice
P
S
P
S
P
S
Mergers & Acquisitions
P
S
P
S
P
S
Oil & Gas
P
S
P
S
P
S
Patent
P
S
P
S
P
S
Personal Injury
P
S
P
S
P
S
Pharmaceutical
P
S
P
S
P
S
Product Liability
P
S
P
S
P
S
Real Estate
P
S
P
S
P
S
Reinsurance
P
S
P
S
P
S
Securities
P
S
P
S
P
S
Sports
P
S
P
S
P
S
Taxation
P
S
P
S
P
S
Technology
P
S
P
S
P
S
Telecommunications
P
S
P
S
P
S
Trademark
P
S
P
S
P
S
Trade Secret
P
S
P
S
P
S
Toxic Tort
P
S
P
S
P
S
Trusts & Estates
P
S
P
S
P
S
ADR Roster Listings
Please indicate if you are currently listed as a neutral on the roster or panel of arbitrators maintained by any ADR organization, such as AAA, JAMS, CPR, ICC, etc.
Organization Arbitration Roster Years on Roster Average Claim No. of cases
Example: JAMS Banking 5 years $3.2 Million 3
Mediation Roster Listings
Please indicate if you are currently listed as a neutral on the roster or panel of mediators maintained by any ADR organization, such as AAA, JAMS, CPR, ICC, etc.
Organization Mediation Roster Years on Roster Average Claim No. of cases
Example: CPR Construction 3 years $1.5 Million 2
Languages
Please indicate any language ability below, aside from English. Note whether you are so fluent that you would be able to conduct an ADR proceeding in that language, or whether you have read only capability:
Language Fluency
Fluent
Read Only
Fluent
Read Only
Fluent
Read Only
Fluent
Read Only
Please upload a PDF of your resume or CV.