Attorney Application 1 9/29/2004
WEBB COUNTY APPLICATION/AFFIDAVIT
Criminal Felony, Misdemeanor or Juvenile Courts Attorney Appointment List
PLEASE COMPLETE THIS ENTIRE PAGE
Date: ________________
Name: ________________________________________ Birth Date: _____________
Business Address: ______________________________ Day Phone: ____________
Home Phone: _______________________________FAX No. ____________________
Cell Phone: ___________________________________________________________
E-mail address: _________________________________________________________
*Note: You will receive notification of appointment by fax and e-mail.
EDUCATION
1. Undergraduate School: ________________ Date Graduated: _______________
3. Date licensed to practice law in Texas: ___________ Bar Card No. __________
4. Are you fluent in any language other than English? Which language(s)?
______________________________________________________________
5. Have you attended the Advanced Criminal Law Course within the last four years?
_____ Yes _____ No
6. How many Criminal Law CLE hours have you completed in the last calendar year?
(Please state where and when you completed the hours)
________________________________________________________________
________________________________________________________________
________________________________________________________________
7. Have you ever been sanctioned or reprimanded by the State Bar? __ Yes __ No If
“yes” where and when ____________________________________________
Do you have any pending grievances? ____ Yes _____ No. If yes, explain.
________________________________________________________________
________________________________________________________________
EXPERIENCE-GENERAL
Briefly describe your legal experience and the type of law you have practiced including what
percentage has been criminal law:
________________________________________________________________
________________________________________________________________
________________________________________________________________
EXHIBIT “ D” – Page 1
Print Form
Attorney Application 2 9/29/2004
EXPERIENCE-CRIMINAL
Have you ever served in a criminal prosecutor’s office? Yes ____ No _____
If “yes,” where and when: _________________________________________________
______________________________________________________________________
______________________________________________________________________
Have you ever served as the lead counsel in the defense or prosecution of a criminal or juvenile
case? Yes__ No __ If “yes,” how many times? ___ Misdemeanor ___ Felony ___ Juvenile
Type of juvenile case: _________________________________________________________
How many criminal or juvenile jury trials have you tried as lead counsel? ___ Misdemeanor ___
Felony ___ Juvenile In the last 12 months: ___ Misdemeanor ___ Felony ___ Juvenile
Type of juvenile case: _________________________________________________________
Have you ever tried a capital murder case where the State was seeking the death penalty?
Yes___ No___ If “yes,” specify case and when it was tried: _________________________
__________________________________________________________________________
__________________________________________________________________________
First Chair: _____________ Second Chair: ___________
Check those that apply.
___ Have at least five years of experience in criminal litigation
___ Have tried to verdict as lead defense counsel a significant number of felony
cases (at least 5-10)
___ Have trial experience in the use of and challenges to mental health or
forensic expert witnesses
___ Have investigated and presented mitigating evidence at the penalty phase of
a death penalty trial
___ Have participated in continuing legal education courses or other training
relating to criminal defense in death penalty cases
EXPERIENCE-APPELLATE
Do you want to be assigned appellate appointments? Yes_____ No______
Number of briefs filed: _______ Number of oral arguments: ________
EXHIBIT “D” – Page 2
Attorney Application 3 9/29/2004
SPECIAL QUALIFICATIONS
Are you board certified in criminal law? Yes _____ No ______
Are you board certified in juvenile law? Yes _____ No ______
Are you licensed to practice in federal court? Yes _____ No ______
If “yes,” have you received an appointment from federal court in the last year? Yes ___ No ___
If you possess any additional special qualifications or experience you would like considered in
lieu of those required by the qualifications to represent criminal defendants:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Based on the Webb County Qualifications I am qualified to receive appointments on the
following:
___________
Felony 3g/1
st ____
Juvenile (Check those that apply):
___________
Felony 2
nd
/3
rd
( ) Determinate or habitual felony, C&T, 3g/1
st
degree
___________
Felony SJF ( ) Other Felonies
___________
Misdemeanor ( ) Misdemeanors/CINS
___________
Appeals
I do not qualify technically to receive court appointments for ______________________
cases because _______________________________________________________________
____________________________________________________________________________
I wish to apply for an exception to the qualifications to receive court appointments for the
following reason (s): ___________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
If you are applying for a grace period exception, please indicate when you will have your
qualifications met _____________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Do you want to be listed as a Spanish-speaking attorney? Yes ____ No ____
Are you willing to accept clients who speak the languages listed in question number four?
Yes ____ No ____
If you need additional space to answer any of the questions please place the answers on an additional
page.
EXHIBIT “ D” – Page 3
Attorney Application 4 9/29/2004
CERTIFICATION OF KNOWLEDGE OF STANDING
RULES FOR PROCEDURES FOR TIMELY AND FAIR
APPOINTMENT OF COUNSEL FOR INDIGENT ACCUSED
PERSONS IN WEBB COUNTY, TEXAS
I certify, under oath, that I have received, read, and understand the Webb County
Plan and Standing Rules and Orders for Procedures for Timely and Fair Appointment of
Counsel for December 20, 2001, and effective January 1, 2002 and will comply with
said plan, rules, and orders.
I certify, under oath, that I shall maintain an office with a phone which is
answered a receptionist or answering service from 8:00 a.m. to 12:00 p.m. and from
1:00 p.m. to 5:00 p.m. Monday through Friday (except for Webb County holidays as set
out in the official Webb County calendar approved by the Webb County Commissioner’s
Court) and by which a receptionist or/and answering service can promptly locate me
and notify me of appointment or hearing setting. I agree I will maintain a FAX number to
which FAXES may be received 24 hours a day, seven days a week, an email address
and a physical address. These numbers are as follows:
Office Receptionist _____________________________
Officer Answering Service _____________________________
Fax number _____________________________
Cellular _____________________________
E-mail address
Physical Address ______________________________
I will give written notice of any change in these notification numbers to each
County Court at Law, District Court and Juvenile Judge and Justice of the Peace in
Webb County prior to the change.
I acknowledge that I shall contact any accused person I am appointed to
represent by the end of the first working day following notification of my appointment.
I acknowledge that I shall interview said accused person as soon as practicable.
EXHIBIT “ D” – Page 4
Attorney Application 5 9/29/2004
I, __________________________________, certify, under oath, that I will
zealously represent my client but always within the bounds of the law and legal ethics of
Texas.
I understand that I must timely submit my bill for:
1. Indigent legal representation within 15 days of the date a case is disposed of by a
plea or bench trial; or
2. Indigent legal representation within 15 days of the date of judgment in a trial; or
3. Indigent appeal representation within 15 days of the date a mandate is returned on
appeal.
.
I understand and acknowledge that failure to comply, without showing of good
cause, with these time requirements shall result in my waiver of right for such
compensation and my services will have been performed PRO BONO.
I understand that I have a continuing duty to file an Amended Affidavit within 30
days of the date any of the above information changes.
I hereby, have been sworn upon oath, depose, state, and certify that the above
information is true and correct.
Witness my signature on this the ____ day of ______________, 200__.
__________________________________
AFFIANT
Print Name: ________________________
Bar No. ___________________________
Subscribed and Sworn to before me this the ___ day of ______________,
200__.
___________________________________
NOTARY PUBLIC / PERSON AUTHORIZED
TO ADMINISTER OATHS
Print Name: ________________________
Capacity: ________________________
Seal
EXHIBIT “ D” – Page 5