APPLICATION FOR PUBLIC APPOINTMENT LIST



APPLICATION FOR PUBLIC APPOINTMENT LIST

Name: __________________________________________________________________________

Home Address: ___________________________________________________________________

Business Address: _________________________________________________________________

Business Phone: _______________ Home Phone: ________________ Fax: ________________

E-mail: ___________________________

1. Undergraduate school: _______________ Date graduated: ___________

2. Law school: ________________________Date graduated: ___________

3. Other relevant education: ____________________________________

4. Are you board certified in criminal law? Yes __________ No __________

5. Date licensed to practice law in Texas: ______________________

Bar card no.___________________________

6. Are you fluent in any language other than English? Which language(s)? _________________ __________________________________________________________________________________

7. Have you ever been sanctioned or reprimanded by the State Bar? Yes______ No _______

If yes, explain. ___________________________________________________________________

8. Do you have any pending grievances? Yes _____ No _____

If yes, explain. ____________________________________________________________________

CHECK ALL THE APPLICABLE CATEGORIES FOR WHICH YOU ARE APPLYING:

____Capital Cases (Must apply and be certified with Presiding Judge 2nd Administrative Region)

____Trial Category A (1st degree felonies)

____Trial Category B (2nd and 3rd degree felonies)

____Trial Category C (State Jail Felonies)

____Misdemeanor Criminal Cases

____Juvenile Cases

____Mental Health Criminal Cases

____Criminal Appeals

Note: You must complete the exhibit that applies to the category(s) for which you are applying.

By my signature I attest that the information I have provided in this application and attached exhibit(s) is true and correct.

Signature ______________________________________

Subscribed and sworn to, before me this __________ day of ______________________ 200__.

______________________________________

Notary Public

CAPITAL CASES

To be qualified to represent indigent defendants in a death penalty case, you must apply through the office of the Presiding Judge of the Second Administrative Judicial Region of Texas, Honorable Olen Underwood. Forms required are available on Judge Underwood’s website site with Montgomery County. If Judge Underwood approves you, then you may apply to be on the appointment list for the 12th and 278th Judicial Districts in Walker, Grimes, Madison or Leon County. If you are currently on the approved list of the Second Administrative Judicial Region, then attach a copy of your application filed and approval letter or certificate from Judge Underwood. .

I am currently on the approved list. Yes_____ No ______

I have applied to be on the list. Yes_____ No ______ (Attach copy of application)

COMPLETE THIS PAGE IF YOU ARE APPLYING FOR APPOINTMENTS IN CATEGORY “A”

(1ST DEGREE FELONIES)

Experience – Jury Trials: (Please state the cause no., court, offense, prosecution or defense, date of trial)

1. _________________________________________________________________________________

2. _________________________________________________________________________________

3. _________________________________________________________________________________

4. _________________________________________________________________________________

5. __________________________________________________________________________________

6. __________________________________________________________________________________

How many jury trials have you tried?

Misdemeanor _____________ Felony _______________

If you possess any additional special qualifications to represent criminal defendants, please state them briefly: ___________________________________________________________________________

__________________________________

Signature

COMPLETE THIS PAGE IF YOU ARE APPLYING FOR APPOINTMENTS IN CATEGORY “B”

(2nd & 3rd FELONY

Experience – Jury Trials: (Please state the cause no., court, offense, prosecution or defense, date of trial)

1. _________________________________________________________________________________

2. _________________________________________________________________________________

3. _________________________________________________________________________________

4. _________________________________________________________________________________

How many jury trials have you tried?

Misdemeanor _____________ Felony _______________

If you possess any additional special qualifications to represent criminal defendants, please state them briefly: ___________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

_______________________________

Signature

COMPLETE THIS PAGE IF YOU ARE APPLYING FOR APPOINTMENTS IN CATEGORY “C”

STATE JAIL FELONIES

How many jury trials have you tried?

Misdemeanor _____________ Felony _______________

Experience-Jury Trials

1. ______________________________________________________________________________

2. ______________________________________________________________________________

3. ______________________________________________________________________________

4. ______________________________________________________________________________

If you possess any additional special qualifications to represent criminal defendants, please state them briefly: ___________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________

Signature

COMPLETE THIS PAGE IF YOU ARE APPLYING FOR APPOINTMENTS IN

MISDEMEANOR CASES

How many jury trials have you tried?

Misdemeanor _____ Felony _______

If you possess any additional qualification to represent criminal defendants please state them briefly

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

______________________________________

Signature

COMPLETE THIS PAGE IF YOU ARE APPLYING FOR APPOINTMENT IN

MENTAL HEALTH CRIMINAL CASES

How many trials, jury or non-jury have you been involved in where mental health issues regarding sanity, competency or other mental health issues regarding a criminal defendant were involved? No.______

Do you have any recent CLE hours regarding competency, sanity or court ordered mental health treatment? Yes _____ No ______ If yes describe the course, number of course, number of hours and date taken.

1. ______________________________________________________________________

2. _______________________________________________________________________

3. _______________________________________________________________________

If you possess any additional qualifications to represent criminal defendant where mental health issues are present, state them briefly _______________________________________

_______________________

Signature

COMPLETE THIS PAGE IF YOU ARE APPLYING FOR APPOINTMENT IN

CRIMINAL APPEALS

Please state the number of appeal cases you have been involved in regarding criminal appeals.

Number _______

Please describe your most recent appeal cases by providing the name of case, case number and

court involved:

1. ______________________________________________________________________

2. _______________________________________________________________________

3._______________________________________________________________________

If you possess any additional qualifications to handle criminal appeals, please state them briefly

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

__________________________

Signature

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