Free (PDF) - Colorado

(Rev. 04/08/08)

1ATTORNEY'S APPLICATION FOR ADMISSION TO CJA PANEL Mr. Mrs. Ms. Name:
First Middle Last

Address:
Business Home

Phone:

Business:

(

)

Home:

(

) E-Mail Address:

Social Security Number:

I. LEGAL EDUCATION: School School II. YEARS OF ADMISSION TO PRACTICE: Colorado Supreme Court Other State Supreme Court U.S. District Court, CO. Other Federal District Court Degree Degree Date Date

Have you ever been disciplined by any of the courts before which you have been admitted to practice, or, have you ever been found by a court to have delivered ineffective assistance? III. EXPERIENCE: For how many years have you been engaged in the practice of law? Please describe any employment experience with the following offices: (Years) as a Judge as a U.S. Attorney as a Federal Public Defender as a District Attorney as a State Public Defender as Attorney General

Yes

No

(Place)

as City Attorney Number of Cases tried (approximate): (Civil) Bench U.S. District Court, Colorado Other U.S. District Court Colorado District Court Other State Court Colorado County Court Other County Court Colorado Juvenile Court Municipal Court On a separate sheet, please describe three trials which you believe qualify you for membership on the CJA Panel, including the case name, the name of the presiding judge, and of opposing counsel. IV. SPECIAL SKILLS / INTERESTS: A. If you believe you have special skills or knowledge which would make you more qualified to handle certain types of cases, please advise:
Foreign Language Proficiency Accounting Computers Chemistry Tax Immigration Native American Studies Other

(Criminal) Jury Bench Jury

V. REFERENCES: The following are people familiar with my trial skills whom you may call for a reference: Name 1. 2. 3. VI. SELF CERTIFICATION: Please check one. I believe that I am capable of handling any criminal case to which I am appointed, including complex prosecutions. I believe that I am capable of handling any "routine" felony appointment under the Federal Criminal Code. Please check one: I hereby certify that I have a working knowledge of the Federal Rules of Criminal Procedure, the Federal Rules of Evidence and the United States Sentencing Commission Guidelines Manual, and am competent to try a federal criminal case. I make this certification of competency under Disciplinary Rule 6-101 of the Code of Professional Responsibility. I hereby certify that I have a working knowledge of the Federal Rules of Criminal Procedure, the Federal Rules of Evidence and the United States Sentencing Commission Guidelines Manual, and am competent to try a federal misdemeanor of petty offense case. I make this certification of competency under Disciplinary Rule 6-101 of the Code of Professional Responsibility. ( ( ( ) ) ) Phone Number

Signature

Date

Please mail or e-mail your application to:

Brian K. Holland, Chair CJA Standing Committee 1600 Stout St., #1000 Denver, CO 80202 [email protected]