STATE OF TEXAS '
'
COUNTY OF LUBBOCK '
APPLICATION TO BE PLACED ON
PUBLIC APPOINTMENT LIST FOR LUBBOCK COUNTY
I, ______, a licensed attorney in Texas, State Bar of Texas Number ______, with my principal office or residence in Lubbock County, Texas, at ______, do hereby file this application in compliance with the LOCAL RULES OF LUBBOCK COUNTY FOR THE TIMELY AND FAIR APPOINTMENT OF COUNSEL FOR INDIGENT DEFENDANTS, and I do hereby swear or affirm that the below information is true and accurate. Should any change in this information occur, I will filed an Amended Application with the applicable Administrative District Court or County Court-at-Law Judge within 30 days of the change.
REQUEST
I, ______, hereby request to be placed on the Public Appointment List for the following category(ies) (I have read Local Rule 5.55.01 and by checking the following categories I qualify for all special needs under each category):
CATEGORY A (FELONY):
______(A-1) FIRST DEGREE FELONY
______(A-2) SECOND DEGREE FELONY (3G VIOLENT)
______(A-3) SECOND DEGREE FELONY (NON-VIOLENT)
______(A-4) THIRD DEGREE FELONY
______(A-5) STATE JAIL FELONY
______(A-6) APPELLATE (FIRST AND SECOND DEGREE FELONY - SUBMIT A BRIEF YOU HAVE AUTHORED)
CATEGORY B (MISDEMEANOR):
______(B-1) CLASS AA,@ AB@ AND AC@
CATEGORY C (JUVENILE):
______(C) JUVENILE
CLASS D (WRITS):
______(D-1) WRITS OF HABEAS CORPUS
______(D-2) WRIT CATEGORY (POST-CONVICTION)
CLASS E (SPECIAL LANGUAGE):
______(E) SPECIAL LANGUAGE APPOINTMENT (SPECIFY LANGUAGE): ______
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QUALIFICATION
I, ______, swear or affirm that my qualifications are as follows:
Exact Date Licensed to Practice Law in Texas: ______
Bar Card Number: ______
Number of Years of Practice of Criminal Law: ______
Approximate Number of Jury Trials Tried: ______
Board Certification: Exact Date:
______
______
Criminal Law CLE (last 12 months):
Course: Exact Date: Hours:
______
______
Regarding the qualifications to represent the accused for the felony and misdemeanor sub-categories above, I summarize hereafter my experience (if first time applicant or checking to raise level):
Defendant=s Name: ______Cause # ______Court: ______Offense:______Date:______Chair Rank:______
Defendant=s Name: ______Cause # ______Court: ______Offense:______Date:______Chair Rank:______
Defendant=s Name: ______Cause # ______Court: ______Offense:______Date:______Chair Rank:______
Have you ever been found or held to be ineffective counsel in the representation of a client by a Court? ______If Ayes,@ attach separate sheet with an explanation
Have you ever been sanctioned by the State Bar of Texas (or a similar authority of any other state)? ______. If Ayes,@ attached a separate sheet with an explanation (if a private sanction, the attorney may request sealing of such sanction).
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I have malpractice insurance? (yes/no)______
List other qualifications you deem appropriate for consideration: ______
______
______
OATH
______
Signature of Attorney Date
Address of Attorney: ______
Phone #: ______Cell Phone #:______Fax #: ______
E-mail Address: ______
Sworn and subscribed before me by ______this ______day of ______, 20____.
______
Notary Public
My Commission Expires: ______
ORDER OF APPROVAL/DISAPPROVAL
It is hereby ORDERED, by a majority of District and County Court-at-Law Judges, that the above AApplication to be Place on Public Appointment List of Lubbock County@ of ______be, and the same is hereby APPROVED as to Categories ______and DISAPPROVED as to Categories ______.
SIGNED this ______day of ______, 20___.
______
ADMINISTRATIVE JUDGE ADMINISTRATIVE JUDGE
DISTRICT COURTS COUNTY COURTS-AT-LAW
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