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Application for Board Appointment

  1. Are you related to a current employee of the Court?*
  2. Have you ever been convicted of a violation of any law, other than a minor traffic offense? (DUI convictions must be disclosed.)*
      1. Education
      2. Employment History
      3. REFERENCES: (List three persons not related to you who have definite knowledge of your qualifications for this position)
      4. I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that any false statements will void this application and any action based upon it. Further, I authorize the Court to conduct a criminal history check and have provided my social security number for that purpose.*
          1. Submit by:

            Please return the completed application by May 26, 2023 to the Lucas County Common Pleas Court, Office of the Court Administrator, 700 Adams Street, Suite 300, Toledo, OH 43604

          2. Leave This Blank:

          3. This field is not part of the form submission.