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APPLICATION/AFFIDAVIT
DentonCountyIVDCourtAttorneyAppointmentList
PLEASECOMPLETETHISENTIREFORM
DateofApplication:___________

Name:_____________________________  BarCardNo.:________________
Business(physical)address:_____________________________________________________
HomePhone:____________________  MobilePhone:_______________
BusinessPhone:__________________  FaxNo._____________________
EmailAddress:_______________________________________________________________
*Note:Youwillreceivenotificationofappointmentbyfaxand/oremail.
EDUCATION
1. UndergraduateSchool:___________________ DateGraduated:_____________
2. LawSchool:____________________________ DateGraduated:_____________
3. DatelicensedtopracticelawinTexas:_________________
4. AreyoufluentinanylanguageotherthanEnglish?Yes No
Whichlanguages(s)?_________________________________________________
Doyouwishtobelistedasaforeignlanguageattorney?YesNo
5. Haveyouhadatleast6hoursofCLEinFamilyLawinthelastcalendaryear?
Yes No If“yes”whereandwhen:
_______________________________________________________________________
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CHARACTER,REPUTATIONANDCONFLICTS
1. AreyoucurrentlyamemberingoodstandingoftheStateBarofTexas
Yes No
2. HaveyoubeensanctionedorreprimandedbytheStateBarofTexaswithinthelast3
years?
Yes No
If“yes”attacheddecisionsbythecommitteeandifdesiredanywrittenexplanations.
3. Areyouamagistrate,cityJudge,oranycity,countyorstateofficial?
Yes No If“yes”whereandinwhatcapacity?
________________________________________________________________________
________________________________________________________________________
4. Areyoucurrentlyunderindictmentorchargedwithacriminaloffensegreater>thana
class“C”? Yes □No
If“yes”attachadescriptionofthecharges,whethertheyarependingandthecurrentstatus.
5. Haveyoubeenconvictedorplacedonprobationforanoffensegreater>thanaclassa
“C”? □Yes No If“yes”attachcopiesofallfinalordersandjudgements.
6. Haveyoueveradmitted,orbeenfound,inconnectionwithanofficialproceeding,to
havingprovidedineffectiveassistanceofcounsel?
Yes No If“yes”,explainbyattachinganyapplicabledocuments
andifdesired,anywrittenexplanations.
7. AreyouingoodstandingwithalloftheDistrictJudge’s?YesNo
If“no”,pleaseattachanyapplicabledocumentsandorexplanations.
TheAdministrativeJudge’sapprovalmayberequired.
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EXPERIENCE

1. Areyouboardcertifiedinfamilylaw,bytheTexasBoardofLegalSpecialization?
Yes No
2.AreyouacurrentmemberoftheDentonCounty BarAssociation?Yes No
3.WhatpercentageofyourpracticeissolelydevotedtoFamilyLaw? _____________
4.HowlonghaveyoubeenpracticingFamilyLaw?_____________
5.Haveyoueverbeensanctionedforfailuretoappearbeforeacourt?Yes No
If“yes”,explainbyattachinganyapplicabledocumentsand,ifdesired,anywrittenexplanations.
6. HaveyouhandledanyIVDcasesinthelast3years? Yes No
If“yes”pleaselist:
Date Cause# Style PresidingJudge
____________ ______________ ________________ ____________________
____________ ______________ ________________ ____________________
7. AreyouassociatedwithanyAttorneyswhocurrentlyhandleIVDcases?
YesNo If“yes”pleaselistattorney(s).
__________________________________________________________________________
BymysignatureIattestthatIhaveread,understandandagreetoabidebythedutiesofthe
RulesofFamilyLawProcedureandtherulesofethicspromulgatedbytheStateBarofTexas
andaffirmthattheinformationIhaveprovidedinthisapplicationistrueandcorrect.
_____________________________________ ___________________________
SignatureofApplication Date