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1 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO APPLIC ATION FOR M EM BERSH IPCRIMINAL JUSTICE ACT PANEL TO: CJA Panel Committee United States District Co urt 333 Lomas Blvd NWAlbuquerque, NM 87102 1. Social S ecu rity No . Applicant Name _______________________________ _________________________________ _______________________________ _________________________________ Address & Zip (Business) Address & Zip (Residence) Business Phone Residence Phone Email address __________________________________ 2. Location for which you are available (check appropriate locations) “ Albuquerque “ Santa Fe “ Roswe ll “ Las Cruces 3. You must be a member in good standing of the State Bar of New M exico and the Bar of the U nited States D istrict Co urt for the D istrict of N ew M exic o. Date adm itted to practice b efore the N ew Mexico Supreme Court: NM State Bar number: _____________________ Date adm itted to practice b efore the U .S. District Co urt for NM : 4. Law Degree (school and year) Undergraduate or other degree(s) (degree, school and year) 2 5. How long have you actively practiced law? 6.List other courts to which you have been admitted: Name o f Co urt Location Date Admitted 7. a.Have you e ver been d isciplined by the B ar of a ny state or b y any court? “ Yes “ No If yes, p lease ex plain . b.Have you ever been found to have provided ineffective assistance of coun sel?“ Yes “ No If yes, p lease ex plain . c.Have you e ver been found to be in contem pt of c ourt? “ Yes “ No If yes, p lease ex plain . 8.Would you be available for calls during non-office hours should there be an im med iat e n ee d f or an attorne y to ad vise a d ef en da nt in cu sto dy? “ Yes “ No 3 9. Are you willing to accept appointment on a contingency basis in cases not compensable un der the Criminal Justice Act (for exam ple: civil rights, Title VII EEO Matters)? “ Yes “ No 10. Panels for which you are applying: “ General F elony Panel “ Complex Case Panel “ Cap ital Panel “ Auxiliary Panel (aka “B Panel”) “ Appeals/Habeas Corpus Panel 11. a.General Felony Panel members must have five years’ criminal practice experience in state or federal court or three years experience as an A ssista nt U S A ttorn ey or A ssista nt Fede ral Public D efende r. Please describe briefly you r crim inal p ractice expe rience. b. General Felony Panel members must have ten felony trials at least three of which are federal felony trials or significant federal non-trial experience or significant state court trial experience. i.How many felony trials have you had? ii.How m any of these trial w ere as lead de fense cou nsel? iii.How many of these trials were federal felony trials? iv.How many federal felony criminal cases have you handled? If you have not had ten felony trials, three of which were federal felony trials, please describe briefly any significant federal non-trial experience or significant state trial experience 4 c. Genera l Felony Pan el members must have experience with or knowledge of each of the following. Please indicate briefly your level of experience with or knowledge of : i. The Federal Rules of Criminal Procedure : “ very experienced “ experienced “ somewhat experienced “ vaguely familiar “ not experienced ii. The Federal Rules of Evidence : “ very experienced “ experienced “ somewhat experienced “ vaguely familiar “ not experienced iii. The Federal Sentencing Guidelines : “ very experienced “ experienced “ somewhat experienced “ vaguely familiar “ not experienced iv. The Local Criminal Rules of the U.S. District Court for the District of New M exico : “ very experienced “ experienced “ somewhat experienced “ vaguely familiar “ not experienced v. The New Mexico Code of Professional Responsibility and “A Lawyer’s Creed of Professionalism” : “ very experienced “ experienced “ somewhat experienced “ vaguely familiar “ not experienced. 11. Comp lex C ase P anel members will be appointed in complex or multi defendant criminal cases such as RICO or CCE cases or when the case is unusual or complex due to the number of defendants, the nature of the prosecution or the existence of novel questions of fact or law. Please describe briefly any special experience you have in complex or multi defendant cases. 5 12. Capital P anel mem bers w ill be appointed to represent defenda nts in ca ses in which the government may seek the death penalty under federal law or in post con viction p roceed ings challen ging a sente nce of d eath pursuant to 28 U .S.C . § 225 4 or 225 5. C apita l pan el members will undergo a separate scre enin g proce ss. Please indicate briefly your capital experience and whether you would beinterested in first or second chair appointments or appellate or post conviction appointments. 13. Au xiliary Panel members will be those whose experience level does not meet the qu alifications for the G eneral Felon y Panel. T hose attorneys will be ap pointed to represent indiv iduals c harged w ith misd emeanor or petty offense cases or held as material witnesses. Please indicate briefly your exp erien ce w ith these types o f cases. 14. Ap pea ls/H abeas Co rpu s Pa nel. Would you be willing to accept appointments in appeals of federal criminal cases in the U.S. Court of Appeals for the 10 th Circuit? Ord inarily, appo intments in the district court continue on appeal. The Court of Appeals may allow trial counsel to withdraw and may appoint separate appellate counsel after trial coun sel has perfe cted the a ppe al. Trial counsel must perfect an appeal if requested by the client to do so. Please describe b riefly your appellate and/or habeas co rpus experience in federal or state court. If you would prefer appointments only in appeals or habe as corpus cases, please indicate that as w ell. 6 15. Please describe briefly any additional, relevant criminal law experience, work experience, life experience, or experience with indigent populations, which you believe the selection comm ittee ought to consider. 16. Are there any cases or types of cases you would not accept? Please explain. 17.Lan guag e kno wled ge in addition to En glish: Language Read Write Speak 9 99 9 99 9 99 7 18. Have you ever been employed as a prosecutor, public defender, law clerk to a judge or justice, or as a judge or justice? “ Yes “ No Please describe this emp loyment: 19. Please list names, addresses, and telephone numbers of at least three references who can attest to your professional capabilities as defense counsel. 20. If you desire to gain experien ce in criminal defense w ork, w ould you be w illing to be appointed for a limited time to serve on a pro bono basis to assist an ex pe rie nc ed Crim inal J us tic e A ct P an el a tto rney? “ Yes “ No I hereby authorize all educational institutions, government agencies and instrumentalities (including bar associations and bar examiners of other jurisdictions), em ployers and business and p rofessional associates (past and p resent) to release to the CJA Panel Committee of the United States District Court for the District of New M exico, any non-privileged information, files or records requested by them for the purpose of processing this application. I further state that I carefully read the foregoing application and that the information th erein is true to the best o f my kno w ledge and belief. I fully understand that failure to make a truthful disclosure of any fact or item of 8 information required may result in the denial of my application, and such other actions as the Co urt dee ms appro priate. This application will be considered a confidential court record of the U.S. District Court for the District of New M exico. It will be used only by court per son nel and by th e C JA Panel Co mm ittee in th e ad min istra tion of th e C JA Panel. EXECUTED on at , New Mexico. (date) (city) Applicant Signature 9 Plea se us e th is p ag e f or ad ditio na l in fo rm ation , if ne ce ssary. Revised 11/4/04