Iowa > Federal > Northern And Southern District Court
Criminal Justice Act Application For Panel Membership - Iowa
| Criminal Justice Act Application For Panel Membership Form. This is a Iowa form and can be used in Northern And Southern District Court Federal . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
CRIMINAL JUSTICE ACT APPLICATION FOR PANEL MEMBERSHIP PLEASE TYPE This application form is also available via e-mail in Word and WordPerfect format. Contact Federal Defender's Office at (515)309-9629 to have the form e-mailed to you. Please indicate the panel you want to join: Northern District of Iowa G Cedar Rapids G Sioux City Name: Name of Firm: Address: Southern District of Iowa G Davenport G Des Moines Phone Number: E-Mail Address: Firm's Employer I.D. #: Soc. Sec. #: Law School: Fax Number: Bar No.: Date/Degree: Jurisdictions in which currently admitted or licensed to practice law: State: Date of Admission: U.S. District Court: Date of Admission: U.S. Appellate Court: Date of Admission: Date of Admission to U.S. Supreme Court: 1 American LegalNet, Inc. www.FormsWorkFlow.com Legal References (lawyers or judges familiar with your legal skills): Name Address Phone Briefly describe the nature and length of your present practice: Briefly describe the nature and length of any prior practice(s): Address of prior practice(s): Lawyers you frequently worked with in prior practice: Name Address Phone Prior criminal and civil experiences (trial and otherwise): TOTAL FEDERAL COURT STATE COURT Trials (Criminal) - Jury Trials (Criminal) - Non-Jury Trials (Civil) - Jury Trials (Civil) - Non-Jury Guilty Pleas Federal Guidelines Sentencings 2 American LegalNet, Inc. www.FormsWorkFlow.com Do you own or have ready access to the following books or their equivalents? current United States Sentencing Guidelines Manual current Federal Criminal Code and Rules current 8 Circuit Model Uniform Criminal Jury Instructions th yes G yes G yes G no G no G no G Federal judges (other than immigrations judges) and federal magistrate judges before whom you have tried a case: Judge Case Name & Number Approximate Dates Federal appellate experience: Circuit Case Name & Number Oral Argument Held? Describe any specific experience or training you have in criminal law (other than already noted above): 3 American LegalNet, Inc. www.FormsWorkFlow.com Has a final adjudication, a private or public admonishment, or any other finding ever been made against you by any bar association, ethics committee, court or other judicial or quasi-judicial body concerning your ethics or any other disciplinary matter? YES G If yes, please explain: NO G I certify that the above information is true and correct. Date Signature This typed application should be sent to: Federal Public Defender's Office 400 Locust Street, Suite 340 Des Moines, Iowa 50309 The CJA Panel Selection Committee meets regularly to review applications for membership to the panel. After the committee has met to consider your application, you will be notified whether you have been admitted to serve on the panel. Thank you for your interest in serving. For Office Use Only Membership in Iowa bar verified: Method:________________________ Date:_______________ Verified by: ________ 4 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
