Application for Attorney Appointments List - Wichita County

EXHIBIT “F” Application for Attorney Appointments List - Wichita County

List(s) applying for (check one or more):

1st and 2nd Degree Felonies ______3rd Degree Felonies ______State jail Felonies ______Misdemeanors ______Juvenile - 1st & 2nd Degree Felonies ______Juvenile - 3rd Degree Felonies ______Juvenile - State Jail Felonies ______EXHIBIT “F” Appellate ______Child Custody – CPS ______Child Support Cases ______

Name:______Bar Card #:______Mailing Address:______Street Address:______Phone Number: (____)______Cell Phone Number: (____)______Fax Number: (____)______E-mail Address: ______Year licensed to practice law: ______Are you fluent in any language other than English? Which language(?)______Are you Board Certified in criminal law ? ______Are you Board Certified in juvenile law? ______

Give approximate numbers for the following types of matters in which you were the lead attorney for the defendant or the state:

Felony: Capital Murder

Revocation Hearings Tried:

______(Death Penalty)

Habeas Corpus Hearings:

______Jury Trials Tried: ______As Lead Attorney: ______EXHIBIT “F” As Second Chair: ______

Other Felony Jury Trials Tried: ______Plea Hearings: ______Appellate Briefs Prepared:

______

Appellate Cases Argued:

______Misdemeanor: Jury Trials Tried:

______

Revocation Hearings tried:

______Plea Hearings: ______Appellate Briefs Prepared:

______

Juvenile: Detention Hearings:

Appellate EXHIBIT “F” Briefs Prepared:

______

Adjudication Hearings (Agreed): ____

______Adjudication Hearings (Contested): ____ Adjudication Hearings (Jury): ____ Disposition Hearings (Contested): ____ Modification Hearings: ____

Continuing Legal Education Course Hours (Criminal): 20______20______20______

Continuing Legal Education Course Hours (Juvenile): 20______20______20______

The undersigned attorney represents that I am qualified to handle the legal matters designated above and requests that my name be included in the public appointment list for indigent Defendants in Wichita County, Texas. I further represent and agree that I will comply with the requirements imposed on attorneys by the Texas Fair Defense Act, Local Rules for Wichita County, and the applicable Rules of Ethics for Attorneys licensed in the State of Texas.

Signed this ____ day of ______, 20___.

______Attorney

Approved to handle the following cases by a majority of the County, County Court at Law and District Court Judges: EXHIBIT “F”

Criminal

Juvenile 1st /2nd Degree Felonies ______3rd Degree Felonies

______

______State Jail Felonies

______

______Misdemeanors

______

______Appellate

______Child Support Cases

______Child Custody – CPS

______

Date Approved: _____ day of ______, 20___.

______EXHIBIT “F”

Local Administrative Judge Date:______