JOHNSON COUNTY

APPLICATION FOR PUBLIC APPOINTMENT LIST

Form Revised on 12-12-2001

Last Name:

First Name:

State Bar Card No:

Date licensed to practice law:

Physical address (must be located in Johnson County or within the city limits of Burleson, Texas or Somervell County for District Court Appointments):

Mailing address:

Telephone No:

Fax No:

Pager No:

Cellular Phone No:

E-mail Address:

Please Circle Y or N

1.  Are you currently in good standing with the State Bar of Texas? Y/N

2.  Are you currently under indictment or charged with a criminal offense other than Class C traffic offenses? Y/N

3.  Are you certified by the Texas Board of Legal Specialization in Criminal Law? Y/N

4.  Are you certified by the Texas Board of Legal Specialization in Juvenile Law? Y/N

5.  Have you ever been sanctioned by the State Bar Grievance Committee or the Commission for Lawyer Discipline? Y/N

6.  Do you have an appeal pending of any State Bar sanction? Y/N

7.  Have you ever been sanctioned for failure to appear before a court? Y/N

8.  Has a court ever found that you have provided ineffective assistance of counsel? Y/N

9.  Have you ever been convicted or placed on deferred adjudication for any offense other than a Class C offense? Y/N

10.  What percentage of your practice is criminal law? ____

11.  Approximately how many criminal cases have you tried to conclusion before a jury?

(include hung juries, but exclude agreed competency hearings)._____

12.  Of the trials in Question 11, how many were felony cases? _____

13.  Of the trials in Question 11, how many were misdemeanors? _____

14.  Approximately how many adult criminal appeals have you pursued in which you authored the brief (excluding subcontracted briefs)? _____

15.  Approximately how many juvenile cases have you served as attorney of record? ____

16.  Of the cases in Question 15:

How many involved the potential of TYC? _____

How many involved determinate sentencing? _____

How many involved a Petition to Certify Juvenile to Stand Trial

as an Adult? ____

17.  Approximately how many juvenile appeals have you pursued in which you authored

the brief (excluding subcontracted briefs)? _____

18.  Do you have unique training or skill in cases involving a mental status defense? ____

19.  Do you have training or skill as a deaf interpreter? _____

20.  Are you fluent in any other language other than English? If so, please list

21.  Do you represent any municipality as a judge or attorney? If so, please list

22.  Do you have any legal conflicts that would prohibit you from taking appointments?

If so, please state:

Required Attachments

1.  Your most recent reporting year C.L.E. report from the State Bar of Texas.

2.  If you have been sanctioned by the State Bar Grievance Committee or the Commission on Lawyer Discipline in the last 10 years, attach the decisions(s) and, if desired, a written explanation.

3.  If you have been sanctioned for failure to appear before a Court in the last 10 years, attach any applicable court documents and, if desired, a written explanation.

4.  If a Court has found that you have provided ineffective assistance of counsel in the last 10 years, attach any applicable documents and if desired, a written explanation.

5.  If you have ever been convicted of or placed on deferred adjudication for any offense other than a Class C traffic offense, attach copies of all final orders (or those deferring adjudication) and judgments.

6.  If you are applying for appeals, list the appeals and case numbers in which you authored the briefs.

REQUEST FOR APPOINTMENTS

I meet the requisite qualifications and am applying for the following appointments: (Check whichever apply)

_____1. Misdemeanor

_____2. Misdemeanor Appeal

_____ 3. State Jail Felony, Motions to Revoke, and Extradition

_____ 4. Second and Third Degree Felony and Motions to Adjudicate.

_____ 5. First Degree Felony and Non Death Capital Murder

_____ 6. Appeal and Post-Judgment Writs.

_____ 7. Capital Murder – Death Penalty Sought.

_____ 8. Appeal and Post-Judgment Writs Involving Death Penalty

_____ 9. Juvenile cases in which commitment to the Texas Youth Commission (TYC)

is not possible.

_____10. Juvenile cases in which indeterminate commitment to TYC is possible.

_____11. Juvenile cases involving determinate sentencing under Section 53.045

Texas Family Code.

_____ 12. Juvenile cases involving discretionary transfer to criminal court under

Section 54.02 of the Texas Family Code.

_____ 13. Appeals involving juvenile cases.

OATH

I, ______, the undersigned attorney, hereby state under oath that all of the above information is correct, that I have read and understand the qualifications set out in Johnson County Public Appointment Guidelines and that I meet those qualifications. I understand that I have a duty to promptly notify the designated agent of any matter that may make me ineligible to receive appointments under the Johnson County Public Appointment Guidelines, and to notify the the designated agent in writing, of any changes to the information contained in this application. I understand that I may be removed from the appointment list for failure to meet any qualification stated in the Johnson County Public Appointment Guidelines.

______

Attorney

On this the ______day of ______, 20_____, personally appeared

Before me ______, who after being properly identified

And placed under oath swore that all information stated on the foregoing Application

For Public Appointments is the truth.

Name:

Office of person taking oath:

Oath may be administered by a judge, court clerk, or notary public. Notary seal and date commission expires, if applicable.

On the ______day of ______, 200__, the Judges of Johnson County, Texas, considered the foregoing application and it is hereby _____ approved, _____denied.
Comments: ______

______

D. Wayne Bridewell, Judge Jerry D. Webber, Judge

249th Judicial District Court County Court at Law No. 2

.

John E. Neill, Judge Robert B. Mayfield, Judge

18TH Judicial District Court County Court at Law No. 1

______

William C. Bosworth, Jr., Judge

413TH Judicial District Court