Date of Application: ____________________
1 | P a g e
I. PERSONAL INFORMATION
Name: _____________________________________________
Bar Card No. ___________________
Business (physical) Address:
_______________________________________________________________
Home Phone: ____________________________
Mobile Phone:
____________________________
Business Phone: ____________________________
Fax Number:
____________________________
Email Address: ________________________________________________________________________
II. EDUCATION
1.
Undergraduate School:
_______________________________
Graduation Date:
______________
2.
Law School:
_______________________________________
Graduation Date:
______________
3.
Date licensed to practice law in the state of Texas: __________________________________________
5.
Have you attended the Advanced Criminal Law Course within the past 4 years?
Yes
No
6.
Have you had at least 10 hours of CLE in Criminal Law in the last calendar year?
Yes
No
If yes, where and when: _______________________________________________________________
III. 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/reprimanded by the State Bar within the past 3 years?
Yes
No
(If yes, attach decisions by the committee and, if desired, any written explanations)
3.
Do you have a judgment/outstanding debt owed to any governmental entity or federally insured program
(Including student loans, SBA loans, or taxes)?
Yes
No
If yes, please explain: _________________________________________________________________
____________________________________________________________________________________
4.
Are you a magistrate, city (assistant) judge, or any city, county, or state official?
Yes
No
If yes, where and in what capacity? _____________________________________________________
5.
Are you currently indicted/charged with offense other than Class “C” offense(s)?
Yes
No
If yes, where and when: _______________________________________________________________
6. Have you ever been convicted of or placed on deferred adjudication for any offense(s) other than Class
“C” Traffic offenses?
Yes
No
County Criminal Courts Attorney Appointment List
Application/Affidavit
If yes, where and when: _______________________________________________________________
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)
IV. GENERAL EXPERIENCE
1. Below, please indicate the type of law you have practiced, in Texas, and the corresponding percentage:
Type of law: Criminal Law_______________________________ Percentage: ______________
Type of law: ___________________________________________ Percentage:
______________
Type of law: ___________________________________________ Percentage:
______________
V. CRIMINAL EXPERIENCE
1. Have you ever served in a criminal prosecutor’s office?
Yes
No
If yes, when and where: _______________________________________________________________
2. Below, please indicate your experience in the defense and/or prosecution of a criminal case, greater than
Class “C” offenses, as a member of counsel, as lead counsel, and within the past year.
A. Contested criminal trials before the court: ____ As lead counsel:
____ In past year: ____
B. Criminal jury trials: ____ As lead counsel:
____ In past year: ____
C. Criminal appeals: ____ As lead counsel:
____ In past year: ____
3. Do you have malpractice insurance?
Yes
No
4. Have you ever been sanctioned for failure to appear before a court?
Yes
No
(If yes, explain by attaching any applicable documents and, if desired, any written explanations)
VI. APPELLATE EXPERIENCE
1. Do you want to be assigned appellate appointments?
Yes
No
Number of briefs filed:
________
Number of oral arguments:
________
VII. SPECIAL QUALIFICATIONS
1. Are you board certified in criminal law?
Yes
No
2. Are you proficient in any foreign language(s)?
Yes
No
If yes, please identify the language(s): ___________________________________________________
3. Do you have an employee proficient in any foreign language(s)?
Yes
No
If yes, please identify the employee(s) and language(s): ______________________________________
____________________________________________________________________________________
4. Do you wish to be listed as available to receive Spanish-speaking appointments?
Yes
No
(Yourself and/or an employee, available for jail visits, are proficient in Spanish)
Date of Application: ____________________
3 | P a g e
5. If you possess any additional special qualifications to represent criminal defendants please state them
briefly:
_____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
By my signature I attest that I have read, understand and agree to abide by the duties owed to an accused
under the Denton County Interim Fair Defense Act, 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 County Courts of Denton County, and affirm that the information I have provided in this application is true
and correct.
_________________________________________________
___________________________________
Signature of Applicant Date
Subscribed and sworn to before me on the __________ day of _______________________, 20________.
_________________________________________________
Notary Public
click to sign
signature
click to edit
Affidavit
State of Texas
§ In Re:
§ Denton County Qualifications
County of Denton
§ For Misdemeanor Appointments
BEFORE ME, the undersigned authority, appeared the below named individual “Affiant”
an individual either personally known or identified to me and having being sworn did state on
his or her oath the following:
“My name is ________________________________________________,
I am over the age of 18 years, never been convicted of a felony, and am fully
competent to make this affidavit”.
“I maintain my principal office in Denton County, Texas. My criminal law
practice is based in Denton County, Texas and eight percent (80%) or more of the
total cases in which I appeared as attorney-of-record were cases pending in a court
of record in Denton County, Texas”.
“I have attached a true and correct copy of my CLE report to this affidavit
and incorporate same herein as is set forth in the body of this document”.
FURTHER AFFIANT SAYETH NOT.
____________________________________________
Affiant
____________________________________________
Printed Name
SWORN TO AND SUBSCRIBED BEFORE ME on this the _______ day of ______________, 20_____.
___________________________________________
Notary Public in and for the State of Texas