Free ProBono.PDF - New Mexico

APPLICATION FOR MEMBERSHIP ON CIVIL PRO BONO PANEL
UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO

TO:

Clerk of Court Attn: Pro Bono Panel Selection Committee United States District Court 333 Lomas, NW Albuquerque, NM 87102

1.

Social Security No. Name of Applicant

Address & Zip (Business) Business Phone
2.

Address & Zip ( Residence)
Residence Phone

Location of your availability (check appropriate location(s)):
Albuquerque Santa Fe Las Cruces

You must be a member in good standing of the Bar of the United States District Court for the District of New Mexico. Please enter date admitted to practice before this
3.

Court: 4.

Other Courts you are admitted to practice in:
Name of Court Location

Date Admitted

5. 6.

How long have you actively practiced law? Have you ever been disciplined by the Bar of any state or by any court? If so, explain yes no

7.

Briefly describe your civil litigation experience. (Use the reverse side of page.)

8. Language knowledge, in addition to English, and level of abilities to read, write and speak: Language Read Write Speak

9. Please give the names and addresses of at least three references who are qualified to evaluate your professional capabilities as a civil attorney.

10.

How many cases, in a year, would you be willing to accept as counsel? (This number is not binding; it is for administrative purposes.)

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