COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.APPLICATION FOR MEMBERSHIP IN THE CRIMINAL JUSTICE DEFENSE PANEL FOR THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF LOUISIANAJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Send completed application for processing to:ClerkUnited States District Court Eastern District of Louisiana 500 Poydras Street, Room C-151 New Orleans, Louisiana 70130. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOALL QUESTIONS MUST BE ANSWEREDAPPLICATIONOFGREETINGS:1.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofIherebyapplyformembershipintheCriminalJusticeDefense PanelfortheEasternDistrictofLouisiana. 2.IwasadmittedtopracticelawintheStateofLouisianaon andwasadmittedtopracticeintheUnitedStates DistrictCourtfortheEasternDistrictofLouisianaono'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room.3.Ihavealsobeenadmittedtopracticeinthefollowingcourts:Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.NameofCourtLocationDateAdmitted, one of the Justices of theCourt in Witness, Honorableday of, 20 County,4.Ihavebeenengagedintheactivepracticeofcriminallaw since,andamanactivememberofthe LouisianaStateBaringoodstanding.(Attorney must sign above and type name below)5.Haveyoueverbeendisciplinedbythebarofanystateorby anycourt?.Ifsoexplain.Attorney(s) for6.Mycourtroomexperiencewithinthelastfive(5)yearshasbeen asfollows:(Pleaseidentifybycourt,caption,docketnumber,typeof caseanddatetheapplicant'smostsignificantcourtroomexperience withintheprecedingfiveyears,givingparticularemphasistocriminal proceedings).[Useattachedsheetsforanswer.]Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:7/89Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.7.Myappellateexperiencewithinthefive(5)yearsprecedingthis applicationisasfollows:[Useattachedsheetsforanswer.]JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)8.Iread,write,speakand/or understand(checkasapplicable)thefollowingforeign language(s):. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.Haveyoueverbeenemployedasafull-timeprosecutor,public defender,orlawclerktoajudgeorjustice?.Ifso,nameof officeorjudge,anddatesofemployment:THE PEOPLE OF THE STATE OF NEW YORK TO10.Doyouhaveanyotherlegaltrainingorexperiencewhichwould qualifyyouformembershipinthepanel?GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,11.Duringthefiveyearsprecedingthisapplication,haveyou beenarrested,summoned,chargedorconvictedofanycriminaloffense (excludingminortrafficinfractions)?located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room.Ifso,explain"Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.12.Areyouwillingtoacceptappointmentwithoutcompensationin casesnotcompensableundertheCriminalJusticeAct(forexample,civil rightsactions,etc.)?YesNo., one of the Justices of the13.Professionalreferences.(pleaselistatleasttwoattorneys orjudgesfamiliarwithapplicant'sprofessionalcompetence):Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Iherebyauthorizealleducationalinstitutions,government agenciesandinstrumentalities(includingbarassociationsandbar examinersofotherjurisdictions),employersandbusinessand professionalassociates(pastandpresent),toreleasetothePanel SelectionCommitteeoftheUnitedStatedDistrictCourtfortheEastern DistrictofLouisiana,anynon-privilegedinformation,filesorrecords requestedbythemforthepurposeofprocessingthisapplication.Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:7/89Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IfurtherstatethatIhavecarefullyreadtheforegoing applicationandcertifythattheinformationthereinistrue,ortrueto thebestofmyknowledgeandbelief.Ifullyunderstandthatfailureto makeatruthfuldisclosureofanyfactoritemofinformationrequired myresultinthedenialofmyapplication,andsuchotheractionasthe courtdeemsappropriate.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Executedofat,Louisiana (Date)(City)Ideclareunderthepenaltyofperjurythattheforegoinganswersand statementsaretrueandcorrect.THE PEOPLE OF THE STATE OF NEW YORK TO(SignatureofApplicant)GREETINGS:NAME(Type)WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableADDRESS,located at County ofCITY&STATEo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomSOCIALSECURITYNO.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.PLEASETAKENOTICETHATIFTHEAPPLICANTHASNOTBEENNOTIFIED OFAPPROVALORREJECTIONOFHIS/HERAPPLICATIONWITHINEIGHTEEN (18)MONTHSOFITSFILINGANDTHEAPPLICANTHASACONTINUING INTERESTINMEMBERSHIPINTHEPANEL,ANUPDATEDAPPLICATIONMUST BEFILEDWITHINFIFTEEN(15)DAYSFOLLOWINGTHEENDOFSAID EIGHTEEN(18)MONTHPERIOD., one of the Jus
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