* Indicates a required field

First Name*

Last Name*

Work Phone ###-###-#### *

Fax Phone ###-###-#### *

Email Address *

2. In what year were you licensed to practice law in Texas?: *

What is your bar number?: *

3. If you are licensed to practice law in another jurisdiction, please list such jurisdictions:

4. How many years have you been practicing in the area of probate?:*

Note: If less than one year, what estate/probate courses or internships did you take in law school?

5. Are you board certified by the Texas Board of Legal Specialization?: *

If board certified, please indicate your specialty(ies):

6. Do you have special qualifications, training, or licenses you would like us to know about?:

7. Are you fluent in any foreign languages? If so, please indicate the language(s) below:

8. Have you served as a court appointed attorney ad litem, guardian ad litem, guardian, or administrator of an estate?: *

If so, please briefly tell us about your experience:

9. What areas of service most interest you?:

Guardian *

Administrator *

11. Are you a veteran of the U.S. Armed Forces?: *

12. Would you be willing to serve on a pro bono basis for small, special matters (for example as an attorney ad litem in the heirship of a veteran or first responder)?: *

13. What is the hourly rate you plan to charge as an appointee of the court?: *

14. May we publish the information you provided on our website and make it available to parties seeking to choose a fiduciary and avoid the court's automatic appointment process?: *

15. What else would you like us to know about you?: