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T-16, r. 4.1 - Regulation respecting the selection procedure of candidates for the office of judge of the Court of Québec, municipal court judge and presiding justice of the peace
Schedule
Disposition versions
SCHEDULE A
(ss. 9 and 11)
Application for the office of judge of the Court of Québec, municipal court judge or presiding justice of the peace
SCHEDULE A
(ss. 9 and 11)
Application for the office of judge of the Court of Québec, municipal court judge or presiding justice of the peace
SCHEDULE A
(ss. 9 and 11)
Application for the office of judge of the Court of Québec, municipal court judge or presiding justice of the peace
Surname
Given name
Male Female Member of a cultural community (optional)
Residential address
Business address
Residence telephone number Business telephone number Cellphone number
Where do you want your mail to be sent?
Office Residence
POSITION OF JUDGE AT THE COURT OF QUÉBEC
Competition number Place of residence of the judge to be appointed
Division(s) where the judge will hold office
POSITION OF PRESIDING JUSTICE OF THE PEACE
Competition number Place of residence of the judge to be appointed
POSITION OF MUNICIPAL COURT JUDGE
Competition number Identification of the municipal court concerned
IF YOU RESIDE IN A JUDICIAL DISTRICT DIFFERENT FROM THE PLACE OF RESIDENCE FIXED FOR THE POSITION OF JUDGE TO BE FILLED, PLEASE INDICATE THE REASONS FOR WHICH YOU WOULD ACCEPT TO BE APPOINTED IN THAT DISTRICT
CONDITIONS OF ADMISSION: 10 YEARS EXPERIENCE
Year of admission to the Barreau du Québec
Number of years in the practice of law
Proof of entry on the Roll of the Barreau du Québec BQ membership card or
BQ attestation
Not registered
(If applicable, indicate the reasons for your absence from the Roll of the Order.)
PROFESSIONAL EXPERIENCE
(Employers, main sectors of activities, time periods, including experience acquired before obtaining an undergraduate degree in law.)
IF YOU HAVE NOT PRACTISED LAW FOR AT LEAST 10 YEARS SINCE OBTAINING THE CERTIFICATE OF COMPETENCE TO PRACTISE THE PROFESSION OF ADVOCATE
(Indicate the nature of the professional activities that allowed you to acquire relevant law experience and the number of years during which the activities were practised.)
HUMAN, PROFESSIONAL, SOCIAL OR COMMUNITY EXPERIENCE, PUBLICATIONS, HONORARY OR ACADEMIC AWARDS YOU WISH TO MENTION TO THE COMMITTEE
(Describe briefly.)
REASONS FOR YOUR INTEREST IN BEING JUDGE
(Reasons and personal or professional qualities you have that, in your opinion, make you qualified to hold the position of judge.)
POST-COLLEGE TRAINING (University and professional training)
(Name of the university or professional institution, years of attendance, diploma or permit to practise and date diploma or permit was obtained.)
Languages spoken French English Other
Languages written French English Other
HAVE YOU BEEN THE SUBJECT OF A COMPLAINT BEFORE A COMPETENT BODY OF THE BARREAU DU QUÉBEC, THE PROFESSIONS TRIBUNAL OR THE CONSEIL DE LA MAGISTRATURE ?
Yes No
(If yes, describe the object of the complaint / attach any relevant document.)
HAVE YOU BEEN THE SUBJECT OF A DISCIPLINARY DECISION RENDERED BY A COMPETENT BODY OF THE BARREAU DU QUÉBEC, THE PROFESSIONS TRIBUNAL OR THE CONSEIL DE LA MAGISTRATURE ?
Yes No
(If yes, describe the object and reasons of the decision / attach any relevant document.)
HAVE YOU BEEN THE SUBJECT OF A COMPLAINT OUTSIDE QUÉBEC THAT, IF IT HAD BEEN MADE IN QUÉBEC, WOULD HAVE BEEN BROUGHT BEFORE A COMPETENT BODY OF THE BARREAU DU QUÉBEC, THE PROFESSIONS TRIBUNAL OR THE CONSEIL DE LA MAGISTRATURE ?
Yes No
(If yes, describe the object of the complaint / attach any relevant document.)
HAVE YOU BEEN THE SUBJECT OF A DISCIPLINARY DECISION RENDERED OUTSIDE QUÉBEC THAT, IF IT HAD BEEN RENDERED IN QUÉBEC, WOULD HAVE HAD THE EFFECT OF A DECISION RENDERED BY A COMPETENT BODY OF THE BARREAU DU QUÉBEC, THE PROFESSIONS TRIBUNAL OR THE CONSEIL DE LA MAGISTRATURE ?
Yes No
(If yes, describe the object and reasons of the decision / attach any relevant documents.)
HAVE YOU EVER BEEN FOUND GUILTY OF A CRIMINAL OFFENCE OR AN INDICTABLE OFFENCE ?
Yes No
(If yes, explain and indicate the offence and the sentence given. Indicate if you were granted a pardon regarding the conviction.)
HAVE YOU HAD OTHER PROBLEMS WITH THE LAW, INCLUDING BANKRUPTCY OR ASSIGNMENT OF PROPERTY ?
Yes No
(If yes, explain briefly.)
ARE YOU OR HAVE YOU BEEN IN THE LAST 5 YEARS IN A PRECARIOUS FINANCIAL SITUATION ?
Yes No
(If yes, explain briefly.)
DO YOU HAVE HEALTH PROBLEMS THAT COULD PREVENT YOU FROM HOLDING THE OFFICE OF JUDGE ?
Yes No
(If yes, explain briefly.)
IS THERE A CURRENT OR PAST FACT OR SITUATION THAT MAY HAVE NEGATIVE CONSEQUENCES FOR YOURSELF OR THE JUDICIARY AND THAT MUST BE DISCLOSED?
Yes No
(If yes, describe the fact or situation.)
Attach a recent photograph and a photocopy of your Barreau membership card, if applicable, to this form. Those documents must be forwarded in 6 copies.
I consent to verifications to be made concerning me with any disciplinary body, any professional order, including the Barreau du Québec, to which I belong or have belonged, and with police authorities and credit agencies. For that purpose, my date of birth and my social insurance number are
(Date of birth) (Social insurance number)
I undertake to preserve the confidentiality of the filing of my application and that of any decision made in respect of my application.
I undertake not to exert directly or indirectly any pressure or influence on my appointment for judicial office.
I certify that all the information provided is accurate to my knowledge.
Date: Signature:
