2024 APPLICATION FOR CURRENT DCCA CJA PANEL MEMBERS 

Please (1) download this two-page form; (2) fill it out in Word (taking the space you need to respond to all of the questions); (3) read the terms on the second page and sign below to indicate you agree to them; and (4) email the completed form by August 9, 2024 to CJAApplication@dcappeals.gov. 

Name: ________________________________________________

1.  Please answer yes or no as to each subpart.  Since your last application, in this jurisdiction or any jurisdiction where you are barred, have you been:

            a.  Convicted of any crime, other than a minor traffic offense; 

	 b.  Sued by any client;

	 c.  Found to have rendered ineffective assistance of counsel; 

	d.  Disciplined or cited for a breach of ethics or professional conduct; 

	e.  Removed or suspended from any court approved appointment list; or;

f.   Named as the subject of any bar complaint regardless of whether discipline was imposed?

***If the answer to any sub-part of this question is yes, please provide a full explanation here. 

2.	Please provide any other information that would be helpful in assessing your qualifications and ability to continue to represent indigent appellants in criminal and delinquency appeals, including relevant training on criminal law, oral argument, and brief writing. 

3.	If you have asked the court to limit your appointments or if you have sought multiple extensions of time during the preceding year please provide the court with information on your efforts to resolve these issues.  Additionally, provide a list of those matters for which you have sought multiple extensions and the current date that the pleading is due.

4.	Have you satisfied your 2024 CLE obligation?  (Be aware that the 2024 CLE requirement must be completed by December 31, 2024.)

I hereby certify that: 
(1) I have responded accurately to the questions above to the best of my ability to do so; 
(2) I am a member in good standing of the bar of the District of Columbia and any other state where I am barred; and 
(3) I have reviewed and agree to comply with the obligations outlined in the “Obligations of Counsel” memorandum, the Continuing Legal Education requirements identified in Miscellaneous Order No. M-217-03, the 2006 Notice to CJA Counsel Concerning the Annual CLE Requirement, and the November 2015 Voucher Guidelines. See https://www.dccourts.gov/services/cja-practitioner.

By signing and submitting this application for continued participation on the CJA panel, I also agree that I am waiving confidentiality for the purpose of Disciplinary Counsel releasing information regarding my disciplinary records to the D.C. Court of Appeals.  

					
  Date: _________________		Signature: ________________________                                                         

  Email Address: _______________________      Bar number: __________________________