109Th Judicial District Court

109TH JUDICIAL DISTRICT COURT

ANDREWS COUNTY

STATE OF TEXAS

APPLICATION FOR APPOINTMENT AS ATTORNEY FOR INDIGENT DEFENDANTS

I, ______State Bar of Texas Number______do hereby file this Application in compliance with the 109th District Plan for Andrews for the Appointment of Counsel for indigent defendants. I affirm that the answers below are true and correct and I understand that any changes in this information shall be reported to the Court within 30 days.

______

Attorney

1.  I believe I am competent to handle cases in the following areas:

____ Misdemeanor criminal cases

____ Appeals of misdemeanor cases

____ Felony criminal cases

____ Appeals of felony cases

____ Capital cases

____ Appeals of capital cases

____ Juvenile cases

2.  I request that I be considered for appointment in:

____ Andrews County

____ Crane County

____ Winkler County

3.  I graduated from ______(law school)

in ______.

4.  I was licensed to practice law in the State of Texas in ______

5.  I am currently a licensed attorney in good standing with the State Bar of Texas and the Texas Supreme Count.

6.  I am Board Certified Specialist in the following areas:

______

______

______

7.  I have attended the required number of hours of continuing legal education during the State Bar of Texas last reporting period.

8.  I have attended _____ hours of CLE on criminal law during the last two years.

9.  I have attended _____ hours of CLE on juvenile law during the last two years.

10.  I have attended _____ hours of CLE on capital cases during the last two years.

11.  I have tried ____ or more misdemeanor cases.

12.  I have tried ____ or more juvenile cases.

13.  I have tried ____ or more felony cases.

14.  I have tried ____ capital cases.

15.  I have handled _____ misdemeanor appeals.

16.  I have handled _____ felony appeals.

17.  I have handled _____ capital appeals.

18.  I will comply with the State Bar of Texas Rules of Professional Conduct and the Texas Lawyers Creed.

19.  I will comply with the local rules for ______County.

20.  I will make all reasonable efforts to contact any accused person I am appointed to represent by the end of the first working day after notification of appointment and interview the accused as soon as possible.

Listed below are the telephone and fax numbers at which I may be located. I certify that I maintain an office and staff that are adequate to assist me in fully complying with all rules concerning my court appointment.

Address: ______

Office Number:______

Fax Number:______

Cellular Phone Number:______

I will give prompt notice to the Court of any changes in these numbers.

SIGNED this ______day of ______, 20______.

______

Attorney