United States Bankruptcy Court

Northern District of California

August 6, 2009

Instructions for Completing the

Application to the Bankruptcy Dispute Resolution Program Panel

of the United States Bankruptcy Court, Northern District of California

•          Attorney applicants must be a member in good standing of the Federal courts for the Northern District of California and have been a member in good standing of the Bar of any state or the District of Columbia for at least five (5) years.

•          Bankruptcy attorneys must have served as the principal attorney of record in at least three bankruptcy cases, contested matters or adversary proceedings.

•          Members of other professions must have analogous professional qualifications, experience and training.

•          All applicants must have completed, or be willing to complete, substantive alternative dispute resolution training.

Complete the application below and mail to:

Eddy Emmons

United States Bankruptcy Court

Post Office Box 7341

San Francisco, CA 94120-7341

or

Fax (415) 268-2384

Attn: Eddy Emmons

or

email: Edward_Emmons@canb.uscourts.gov

Applications should be submitted as soon as possible but must be received by September 4, 2009.

Applicants will be notified whether they have or have not been selected for the 2009-2010 Panel.

Questions regarding the Bankruptcy Dispute Resolution Program or the application process may be directed to Eddy Emmons at (415) 268-2395.

Rev. 08/09