UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF TEXAS APPLICATION FOR ADMISSION TO 2027 CJA PANEL I. Division Applicant is applying to be on the Corpus Christi Panel, Victoria Panel or both? * Corpus Christi Division Victoria Division Both II. GENERAL INFORMATION A. Name * B. Name of Firm, Partnership, or Professional Corporation C. Office Street Address * D. Mailing Address (if different from above street address) E. Office Telephone Number (include area code) * F. Cellular Number (include area code) * G. E-Mail Address * H. Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 I. Professional Organizations, Awards, Honors, etc. * J. Fluency (office capacity) in the following languages (do you or any member of your office staff speak, read, and write any language other than English?) * III. BAR ADMISSION AND CERTIFICATIONS A. State Bar Membership Number B. Date Admitted to State Bar of Texas Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028 C. Date first admitted to Practice in the United States District Court for the Southern District of Texas Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028 Membership Number, Southern District of Texas D. Date first admitted to Practice in the United States Court of Appeals for the Fifth Circuit (if not admitted, please so state) E. Please List All Other Courts in Which You Are Admitted to Practice and Give Dates of Admission and Membership Numbers F. Field of Special Interest (appeals, habeas corpus, material witness, trial, felony and capital cases—you may also indicate whether you prefer to handle only one or two types of cases) G. Date and Field of Certification by Texas Board of Legal Specialization IV. TRIAL EXPERIENCE A. Nature of Legal Experience B. Number of Criminal Jury Trials [estimate] - State B. Number of Criminal Jury Trials [estimate] - Federal C. Number of Criminal Trials to the Court [estimate] - State C. Number of Criminal Trials to the Court [estimate] - Federal D. Number of Hearings or Other Contested Matters [estimate] V. APPELLATE EXPERIENCE State - Briefs Submitted State - Oral Arguments Federal - Briefs Submitted Federal - Oral Arguments VI. TRAINING PANEL If you have little or no experience handling federal criminal trials and Sentencing Guidelines issues, are you willing to accept a minimum of two second chair appointments, without compensation, alongside a more experienced Assistant Federal Public Defender or CJA attorney to gain experience prior to being appointed solo for compensation? * Yes No N/A VII. PEER AND COURT REVIEW A. List the names of two lawyers, not your partners, associates, or relatives, with whom or against whom you have tried a case in the last three years, who may be contacted and who can attest to your competence in criminal law: Name * Firm or Employer * Number & Street-Room No. or Bldg. Name-Suite * City * Zip * Office Phone Number (include area code) * Name * Firm or Employer * Number & Street-Room No. or Bldg. Name-Suite * City * Zip * Office Phone Number (include area code) * B. List the names of two judges before whom you have appeared in a contested matter in the last three years: Name of Judge * Name of Court * City * County * Court Phone Number (include area code) * Name of Judge * Name of Court * City * County * Court Phone Number (include area code) * VIII. CONTINUING LEGAL EDUCATION List CLE in which you have participated as: (a) attendee or (b) teacher/lecturer in the last three years (Give course title, sponsor, and date): Attendee Teacher/Lecturer IX. GRIEVANCE MATTERS A. Have you ever been the subject of any form of lawyer discipline, whether private or public, whether oral or written, in any jurisdiction or court in which you have been admitted to the practice of law? If yes, give full details, including the name of the jurisdiction or court imposing the discipline, the date of the discipline, the nature of the discipline, the nature of the offense for which the discipline was imposed, and any other information you deem appropriate. * Yes No If yes, please provide details: B. Have you ever been removed from a case for neglect, missing deadlines, dereliction of duty, incompetence, contempt or any other reason which could indicate unsatisfactory performance as an attorney? This question includes instances of being removed from the Corpus Christi CJA Panel, the 5th Circuit CJA Panel, or any other federal or state panel or list of lawyers who receive appointments to represent persons in legal proceedings. If yes, give full details, including the name of the jurisdiction or court, case number, the date of the removal, the nature of the discipline, the reason the discipline was imposed, and any other information you deem appropriate. This question does not seek information about instances where the Court appointed replacement counsel for reasons unrelated to attorney performance. * Yes No If yes, please provide details C. Do you now have any charges pending against you, either in court or grievance committee, that could result in the filing of a malpractice suit, a grievance committee proceeding, or a suit for disciplinary action? If yes, give full details: * Yes No If yes, please provide details D. Have you ever had a judgment rendered against you for legal malpractice? If yes, give full details: * Yes No If yes, please provide details E. Have you ever pleaded guilty to, pleaded nolo contendere to, or been adjudicated guilty of a violation of any law, other than a violation for which the maximum punishment is a fine only? If yes give full details, including the nature of the offense, the name of the court, the disposition (including punishment, if any), the dates on which the charges were brought and adjudicated, and any subsequent history relating to the charges: * Yes No If yes, please provide details F. Have you ever been adjudicated guilty of a serious crime as defined below, whether the adjudication resulted from a plea of guilty or nolo contendere or from a verdict after trial? If yes, give full details, including the nature of the offense, the name of the court, the disposition (including punishment, if any), the dates on which the charges were brought and adjudicated, and any subsequent history relating to the charges. You do not need to repeat information provided in Section D above. For purposes of this application, the term “serious crime” shall include any felony. It shall also include any lesser crime, a necessary element of which, as determined by the statutory or common law definition of such crime, involved improper conduct of an attorney, interference with the administration of justice, false swearing, misrepresentation, fraud, willful failure to file income tax returns, deceit, bribery, extortion, misappropriation, theft, illegal drug possession or an attempt or a conspiracy or solicitation of another to commit a serious crime since being admitted to practice law. Have you ever been adjudicated guilty of a serious crime as described above? * Yes No If yes, please provide details X. PETITION AND AUTHORIZATION I hereby apply to the Panel Selection Committee for admission to the Criminal Justice Act Panel of the Corpus Christi Division of the United States District Court for the Southern District of Texas for a term of three years and if selected for the panel, agree to accept appointments under the Criminal Justice Act. In making and filing this application, I authorize the Panel Selection Committee to make inquiry of lawyers and judges named herein as to my competence in criminal law. I acknowledge that information received by the Panel Selection Committee will be held in confidence and I waive any right to review statements made to that Committee. I also acknowledge that I have a duty to update and supplement the answers to this application up to and including the time when my application is either accepted or rejected by the Committee. I further acknowledge by my electronic signature and my formal electronic submission of this application to the Committee that I am certifying under penalty of perjury that my answers are true, correct, and complete. Name of Applicant or Electronic Signature * Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028 Additional/Supplemental Information CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.
