Attorney'S Application For Admission To Cja Panel



(Rev. 04/08/08)Mr. Mrs. Ms.ATTORNEY'S APPLICATION FOR ADMISSION TO CJA PANELName: FirstMiddleLastAddress: BusinessHomePhone:Business: ()Home: () Social Security Number:E-Mail Address: LEGAL EDUCATION:SchoolDegreeDate SchoolDegreeDate YEARS OF ADMISSION TO PRACTICE:Colorado Supreme CourtU.S. District Court, CO. Other State Supreme CourtOther Federal District Court Have you ever been disciplined by any of the courts before which you have been admitted to practice, or, have you ever been found by a court to have delivered ineffective assistance?YesNoEXPERIENCE:For how many years have you been engaged in the practice of law? Please describe any employment experience with the following offices:as a Judgeas a U.S. Attorney(Years)(Place)as a Federal Public Defender as a District Attorney as a State Public Defender as Attorney Generalas City AttorneyNumber of Cases tried (approximate):(Civil)(Criminal)BenchJuryBenchJuryU.S. District Court, Colorado Other U.S. District Court Colorado District Court Other State CourtColorado County Court Other County CourtColorado Juvenile Court Municipal CourtOn a separate sheet, please describe three trials which you believe qualify you for membership on the CJA Panel, including the case name, the name of the presiding judge, and of opposing counsel.SPECIAL SKILLS / INTERESTS:If you believe you have special skills or knowledge which would make you more qualified to handle certain types of cases, please advise:Foreign Language Proficiency AccountingComputers Chemistry Tax ImmigrationNative American Studies OtherREFERENCES:The following are people familiar with my trial skills whom you may call for a reference: NamePhone Number1.() 2.() 3.() SELF CERTIFICATION: Please check one.I believe that I am capable of handling any criminal case to which I am appointed, including complex prosecutions.I believe that I am capable of handling any "routine" felony appointment under the Federal Criminal Code.Please check one:I hereby certify that I have a working knowledge of the Federal Rules of Criminal Procedure, the Federal Rules of Evidence and the United States Sentencing Commission Guidelines Manual, and am competent to try a federal criminal case. I make this certification of competency under Disciplinary Rule 6-101 of the Code of Professional Responsibility.I hereby certify that I have a working knowledge of the Federal Rules of Criminal Procedure, the Federal Rules of Evidence and the United States Sentencing Commission Guidelines Manual, and am competent to try a federal misdemeanor of petty offense case. I make this certification of competency under Disciplinary Rule 6-101 of the Code of Professional Responsibility.SignatureDatePlease mail or e-mail your application to:David S. Kaplan, ChairCJA Standing Committee 150 E 10th Avenue Denver, Colorado 80203 dkaplan@ ................
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