APPLICATION/AFFIDAVIT
Appendix 3
APPLICATION/AFFIDAVIT FOR COURT APPOINTMENTS
Fannin County Courts
Date of application: ______________________
Name: __________________________________ Bar Card no.: _____________________
Business (physical) address: _______________________________________________________
Home phone: ____________________________ Mobile phone: ___________________
Business phone: __________________________ Fax No.________________________
E-mail address: ___________________________
*Note: You will receive notification of appointment by fax and/or e-mail.
EDUCATION
1. Undergraduate School: ____________________________ Date graduated: _______________
2. Law School: _____________________________________Date graduated: _______________
3. Date licensed to practice law in Texas: __________
4. Are you fluent in any language other than English? _______ Yes ________ No
3. Which language(s)? __________________________________________________
5. Have you attended the Advanced Criminal Law Course or Juvenile Law Seminar within the last four years?
_______ Yes ________ No
6. Have you had at least ten (10) hours of CLE in Criminal Law and/or six (6) hours of CLE in juvenile law in the last calendar year?
_______ Yes ________ No If “yes” where and when:
________________________________________________________________________ ________________________________________________________________________
CHARACTER, REPUTATION AND CONFLICTS
1. Are you currently a member in good standing of the State Bar of Texas?
_____ Yes _____ No
2. Have you been sanctioned or reprimanded by the State Bar of Texas within the last 3 years?
_____ Yes _____ No If yes, attach decisions by the committee and, if desired, any
written explanation.
3. Do you have a judgment or outstanding debt owed to any governmental entity or federally insured program (including any student loans, SBA loans, or taxes)?
_____ Yes _____ No If yes, please explain
_______________________________________________________________________
_______________________________________________________________________
4. Are you a magistrate, city judge, assistant city judge, or any city, county, or state official?
_____ Yes _____ No If “yes” where and what capacity?
________________________________________________________________________
________________________________________________________________________
5. Are you currently under indictment or charged with a criminal offense other than class “C” traffic offenses?
_____ Yes _____ No If “yes,” where and when:
________________________________________________________________________
6. Have you ever been convicted or placed on deferred adjudication for any offense other than traffic?
_____ Yes _____ No If yes, attach copies of all final orders (or those deferring adjudication)
and judgments.
7. Have you ever admitted, or been found, in connection with an official proceeding, to having provided ineffective assistance of counsel?
_____ Yes _____ No If so, explain by attaching any applicable documents and, if
desired, any written explanations.
EXPERIENCE-GENERAL
Briefly describe your legal experience and the type of law you have practiced including what percentage has been criminal law and the percentage of juvenile law: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EXPERIENCE – CRIMINAL
Have you ever served in a criminal prosecutor’s office? ______ Yes ________ No
If “yes,” where and when: ____________________________________________________________________________________________________________________________________________________________
I have tried _________________ felony cases to completion with a jury.
I have pled _________________ felony cases.
I have tried _________________ capital cases to completion where defendant could have
received a death sentence.
I have tried _________________ capital cases to completion where defendant was exposed only
to a life sentence.
I have tried _________________ Class A and B misdemeanor cases to completion with a jury.
I have pled _________________ Class A and B misdemeanor cases.
EXPERIENCE – JUVENILE
I have represented ________ juvenile respondents.
I have handled __________ juvenile detention hearings.
I have handled __________ adjudication hearings.
I have handled __________ disposition hearings.
I have handled __________ modification hearings.
I have tried___________ juvenile jury trials.
I have represented __________juveniles in matters of contempt.
EXPERIENCE – FAMILY LAW AND MENTAL COMMITMENTS
I have represented __________ respondents in Child Protective Services cases.
I have represented___________ children in Child Protective Services cases.
I have represented___________ respondents in family contempt proceedings.
I have represented___________ persons whose commitment is sought for mental problems.
TYPE(S) OF APPOINTMENTS REQUESTING:
I will be available for appointment and believe that I am properly qualified to represent defendants/juveniles in the following case types:
_____________ capital cases with death exposure
_____________ capital cases with exposure limited to life
_____________ first-degree felonies
_____________ second-degree felonies
_____________ third-degree felonies
_____________ state jail felonies
_____________ Class A misdemeanors
_____________ Class B misdemeanors
_____________ juvenile proceedings
_____________ ad litem mental commitments
_____________ other ad litem proceedings
_____________ parental rights termination
Check those that apply
______________ Have malpractice insurance.
______________ Have you ever been sanctioned for failure to appear before a court?
If so, explain by attaching any applicable documents and, if desired, any written explanations.
______________ Have an employee proficient in any language in addition to English?
If so, please identify the employee and the language of proficiency.
________________________________________________________________________
EXPERIENCE – APPELLATE
Do you want to be assigned appellate appointments? _______Yes ________ No
Number of briefs filed: ___________ Number of oral arguments: __________
SPECIAL QUALIFICATIONS
Are you board certified in criminal, family or juvenile law? ______Yes _______No______Other
Do you possess any additional special qualifications to represent juvenile, CPS litigants, or criminal defendants? Please explain by attaching any applicable documents and, if desired, any written explanation.
I request inclusion on the appropriate appointment lists and understand that portions of this document will become public knowledge.
I agree to abide by the requirements of the law and the requirements of the judges and juvenile board in the manner and method of contact with my appointed clients. I understand that if I do not perform my duties properly that I will be removed from any or all of the appointment lists.
All appointments will be made from the applicable list and will be compensated in accordance with the posted schedule.
The judges and the juvenile board may make such exceptions to these rules as may be justified by good cause and good faith.
By my signature I attest that I have read, understand and agree to abide by the duties owed to an accused under the requirements of the Code of Criminal Procedure and the rules of ethics promulgated by the State Bar of Texas, the schedule for Court-Appointed attorneys fees for the District Court and County Court at Law of Fannin County, and affirm that the information I have provided in this application is true and correct.
______________________________________________ ____________________________
Signature of Applicant Date
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