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Fill and Sign the Civil Pro Bono Panel District of Colorado United States Courts Form

Fill and Sign the Civil Pro Bono Panel District of Colorado United States Courts Form

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APPLICATION FOR MEMBERSHIP ON CIVIL PRO BONO PANEL UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO Clerk of Court Attn: Pro Bono Panel Selection Committee United States District Court TO: 333 Lomas, NW Albuquerque, NM 871021 .Social Security No. Name of ApplicantAddress & Zip (Business)Address & Zip ( Residence)Residence Phone Business Phone Location of your availability (check appropriate location(s)): 2. You must be a member in good standing of the Bar of the United States District 3. Court for the District of New Mexico. Please enter date admitted to practice before thisCourt: Other Courts you are admitted to practice in: 4. Date Admitted Name of CourtHow long have you actively practiced law? 5. Have you ever been disciplined by the Bar of any state or by any court? 6.If so, explain yes Briefly describe your civil litigation experience. (Use the reverse side of page.) 7.AlbuquerqueSanta Fe Las CrucesLocation no 8. Language knowledge, in addition to English, and level of abilities to read, write and speak: Read Language WriteSpeak 9. Please give the names and addresses of at least three references who are qualified to evaluate your professional capabilities as a civil attorney. How many cases, in a year, would you be willing to accept as counsel? 10. (This number is not binding; it is for administrative purposes.) -2-

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