Free Application for Admission to CJA Panel - Ohio

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO
APPLICATION FOR ADM ISSION TO 1 CRIM INAL JUSTICE ACT PANEL

_____________ DATE 1. 2. Name: ________________________________________________________________ Address (Include firm name, if applicable): ________________________________________________________________________ ________________________________________________________________________ Office Telephone: __________________ Fax Number: __________________________

Cell phone Number: _________________ Email Address: _________________________ 3. Education: A. Name of college or university attended and year of graduation: _________________________________________________________________________ _________________________________________________________________________ B. Name of law school(s) attended and year of graduation: _________________________________________________________________________ _________________________________________________________________________ 4. PRACTICE BACKGROUND IN CRIMINAL LAW--please include locations where you worked and the years that you worked in these various capacities: A. Served as an assistant federal public defender__________________________________ B. Served as an assistant state public defender____________________________________ C. Served as a federal prosecutor______________________________________________ D. Served as a state prosecutor ________________________________________________ E. Served in private practice__________________________________________________ F. Served as a law clerk _____________________________________________________

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Please supplement your answers using additional sheets of paper, where necessary.

5.

Bar Admissions (list both state and federal jurisdictions; date(s) admitted): A. _____________________________________________________________________ B. _____________________________________________________________________ C. _____________________________________________________________________

6.

Have you ever previously been admitted to the SD of Ohio CJA Panel? YES _____ NO _____

If yes, and you are no longer a member of the Panel, please explain why you are no longer a member of the Panel: _______________________________________________________________________ _______________________________________________________________________ 7. If the answer to number six was yes, have you ever refused to accept a CJA appointment? YES _______ NO ______

If yes, please specify the number of times and explain the circumstances _________________________________________________________________________ _________________________________________________________________________ 8. Please list the training programs focusing on federal criminal practice that you attended in the past three years. Additionally, please include the subject matter, dates attended, and location of training: Date Subjects Covered Location

A. ____________________________________________________________________ B. ____________________________________________________________________ C. ____________________________________________________________________ D. ____________________________________________________________________ E. ____________________________________________________________________

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9.

CRIMINAL TRIAL EXPERIENCE DURING THE PAST THREE YEARS. A. During the past three years, how many federal criminal trials have you personally handled? Jury Trials _____ As Defense Attorney ______ Primarily Responsible _____ B. Court Trials _____ As Prosecutor _____ Second-chair _____

During the past three years, how many federal criminal cases have you personally handled that did not go to trial but did involve sentencing? _____ How many state criminal trials have you personally handled during the past three years? Jury Trials _____ As Defense Attorney _____ Primarily Responsible _____ Court Trials _____ As Prosecutor _____ Second-chair _____

C.

D.

During the past three years, how many state criminal cases have you personally handled that did not go to trial but did involve sentencing? _______ List the case caption of first-chair federal and state felony cases you have tried during the past five years. Also include the prosecutor's name and the name of the presiding judge. If you have tried more than five felony cases during this time-frame, please list the five state court trial captions or federal court captions of the trials you consider most representative of your trial experience: 1. _______________________________________________________________ 2. _______________________________________________________________ 3. _______________________________________________________________ 4. _______________________________________________________________ 5. _______________________________________________________________

E.

F.

List, in reverse chronological order, the names of the most recent five defendants who you were assigned to represent in the SD of Ohio­please include the case caption: 1. ________________________________________________________________ 2. ________________________________________________________________ 3. ________________________________________________________________ 4. ________________________________________________________________

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5. ________________________________________________________________

10.

HAVE YOU EVER BEEN THE SUBJECT OF A DISCIPLINARY PROCEEDING WHERE THE PROBABLE CAUSE PANEL FOUND PROBABLE CAUSE TO BELIEVE THAT YOU COMMITTED A DISCIPLINARY VIOLATION? YES _______ If yes, please provide the particulars: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ NO _______

11.

HAVE YOU EVER BEEN HELD IN CONTEMPT OR BEEN THE SUBJECT OF CONTEMPT PROCEEDINGS? YES ______ NO ______

If yes, please identify the court and describe the circumstances, including the name of the presiding judge, the case caption, and the name(s) of the other counsel who were involved in the case: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 12. ARE YOU FLUENT IN ANY FOREIGN LANGUAGE? YES _______ NO ______

If yes, please specify the language(s) in which you are fluent: ________________________________________________________________________ 13. HAVE YOU EVER BEEN FOUND TO BE INEFFECTIVE IN THE REPRESENTATION OF A CLIENT WHO YOU REPRESENTED IN EITHER A RETAINED OR APPOINTED CAPACITY? YES _______ NO _______

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If yes, please identify the case by both caption and case number and explain the circumstances: _________________________________________________________________________ _________________________________________________________________________

14.

PLEASE DESCRIBE ANY OTHER RELEVANT EXPERIENCE THAT QUALIFIES YOU TO SERVE AS A CJA PANEL ATTORNEY: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

15.

PLEASE INCLUDE WITH YOUR APPLICATION A SENTENCING MEMORANDUM THAT YOU AUTHORED AND FILED IN EITHER A FEDERAL OR STATE CRIMINAL CASE.

PLEASE RETURN TO: (Applications for the Cincinnati CJA Panel) Magistrate Judge Timothy S. Black Chair, Cincinnati CJA Seat of Court Committee Potter Stewart U.S. Courthouse, Room 716 Cincinnati, Ohio 45202 Tel: (513) 564-7640 Fax: (513) 564-7644 Email: [email protected] (Applications for the Columbus CJA Panel) Magistrate Judge Terence P. Kemp Chair, Columbus CJA Seat of Court Committee 172 Joseph P. Kinneary United States Courthouse 85 Marconi Boulevard Columbus, Ohio 43215 Tel: (614) 719-3410 Fax: (614) 719-3420 Email: [email protected]

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