Fillable THIRD CIRCUIT COURT CRIMINAL DIVISION ATTORNEY ASSIGNMENT APPLICATION (Third Judicial Circuit of Michigan)

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THIRD CIRCUIT COURT CRIMINAL DIVISION ATTORNEY ASSIGNMENT APPLICATION (Third Judicial Circuit of Michigan)

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The THIRD CIRCUIT COURT CRIMINAL DIVISION ATTORNEY ASSIGNMENT APPLICATION (Third Judicial Circuit of Michigan) form is 3 pages long and contains:

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  • 19 check-boxes
  • 78 other fields

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THIRD CIRCUIT COURT CRIMINAL DIVISION ATTORNEY ASSIGNMENT APPLICATION
Please Type or Print. Illegible applications will be returned. (As a requirement to receive assignments, any attorney newly admitted to the
State Bar of Michigan must contact and shadow an attorney on the approved WCCDBA Mentoring Committee List. Proceedings to be
viewed are outlined on the event certification form. Applications will not be accepted without the required documentation.)
Check one:
New Applicant Capital Designation (Answer questions 1 and 8-10 only) Reinstatement
1. Name ______________________________________________________Social Security Number XXX -XX-__________
(Last, First, Middle Initial)
Wayne County Business or Residential Address ____________________________________________________________
City, State Zip Code
Business Phone Number (_____)________________ Fax Number (____)________________________________________
Cellular Number (____)__________________________ E-mail Address _________________________________________
2. Member of the State Bar of Michigan since ________________ Bar Number _________________
List all Bar Associations to which you are a member:_________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
3. Are you Wayne County Criminal Advocacy Program (CAP) certified? ____Yes ____No
Year last certified: ___________
4. The nature of your practice ____ % Criminal ____% Civil ____%Juvenile ____%Domestic
5. List any positions held within the Justice system (date by year, specify county or federal entity)
a) Served in Defender’s Offic
e
_________________________________________
b) Served in Prosecutor’s Office _________________________________________
c) Served as a Public Administrator _________________________________________
d) Judicial Clerkship _________________________________________
6. Are you fluent in a second language? ____Yes ____No If yes, please specify_____________________________
7. Are you certified in American Sign Language? ____Yes ____No
8. Attorney Disciplinary Action (
If you answer yes to any of the following you must attach a statement outlining the specific details
including the dates of when, where and how it was resolved)
a) Have you ever been disciplined by the Attorney Grievance Commission? ___Yes ____No
b) Have you ever been held in contempt of court? ___Yes ____No
c) Has any court ruled that you were ineffective in representing a criminal defendant
?
___Yes ____ No
d) Have you ever admitted being ineffective in any Ginther hearing or motion for new
trial or motion to set aside a guilty plea? ___Yes ____No
1203-3CC (Revised 05/2016) Criminal Division Attorney Assignment Application
9. Criminal defense practice experience:
a) Number of State Court criminal defense case representations within the past three years: ________________
Date of most recent case: ____________________ Case number/Name: _______________________________
b) Number of criminal defense trials: (jury)____________ (non-jury)______________
c) Number of prosecuted trials: (jury)____________ (non-jury)______________
10. Are you seeking appointment to capital cases? ____Yes ____No (If yes, you must complete the following)
List your last five jury trials before a Circuit Court Judge within the last three years:
a) Charge(s): ___________________ Defendant’s Name_____________ Year: ________ Judge:_________
b) Charge(s): ___________________ Defendant’s Name_____________ Year: _______ Judge:_________
c) Charge(s): ___________________ Defendant’s Name_____________ Year: ________ Judge:_________
d) Charge(s): ___________________ Defendant’s Name_____________ Year: ________ Judge:_________
e) Charge(s): ___________________ Defendant’s Name_____________ Year: ________ Judge:_________
If appointed to represent indigent defendants in Wayne County, I agree to represent my client at all proceedings. If I
cannot attend a proceeding on behalf of my client, I agree to obtain substitute counsel who is deemed certified by the
Assigned Counsel Services department. If unable to do so, I agree to notify the Court in a timely manner of my
absence.
If appointed to receive assignments, I will allow another attorney to second-chair the case to permit him/her to gain
criminal practice experience.
If appointed I will comply with MCL 775.18 which states, “Only 1 attorney in any 1 case shall receive the
compensation above contemplated, nor shall he be entitled to this compensation until he files his affidavit in the office
of the county clerk, in which such trial or proceedings may be had, that he has not, directly or indirectly, received any
compensation for such services from any other source.”
I further agree to attend all required CAP sessions as determined by the number of years of my practice. Failure to do
so will result in my removal from the Assigned Counsel List.
I hereby certify that the above information is true. Falsifying any information will result in my ineligibility to receive
assignments from Third Circuit Court—Criminal Division.
__________________________________________________ _______________________________
Signature Date
1203-3CC (Revised 05/2016) Criminal Division Attorney Assignment Application
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EVENT CERTIFICATION FORM
ATTORNEY NAME: __________________________ BAR NUMBER: ___________________
DATE
JUDGE
MENTOR SIGNATURE/BAR NUMBER
1.
1.
N/A
1.
2.
1.
1.
1.
1.
PRE-EXAM
JAIL VISIT
PRELIMINARY
EXAMINATION
AOI
PLEA
JURY TRIAL
SENTENCING
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THIRD CIRCUIT COURT CRIMINAL DIVISION ATTORNEY ASSIGNMENT APPLICATION (Third Judicial Circuit of Michigan)

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Completed 29 July 2020

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