ATTORNEY'S APPLICATION FOR ADMISSION TO COLORADO CJA PANEL

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(Rev. 01/2018) ATTORNEY'S APPLICATION FOR ADMISSION TO COLORADO CJA PANEL Name: Address: First Middle Last Business Phone: Home Business: Cell: Home: Social Security Number: E-Mail Address: I. EDUCATION: School Degree Date School Degree Date II. YEARS OF ADMISSION TO PRACTICE: Colorado Supreme Court U.S. District Court, CO. Other State Supreme Court(s) Other Federal District Court(s) Federal Courts of Appeal/Other Have you ever been disciplined by any of the courts before which you have been admitted to practice, or, have you ever been found by a court to have delivered ineffective assistance? Yes No If yes, please provide details on a separate sheet, including the court, the year and the issue that resulted in the determination by the court. Have you ever been convicted of a crime, other than a minor traffic offense? If yes, explain the circumstances. Yes No

III. EXPERIENCE: For how many years have you been engaged in the practice of law? What percentage of your practice is devoted to criminal law? What percentage is devoted to federal criminal law? How many years have you been on the CJA panel for the District of Colorado? Have you ever served on another CJA panel, either as a CJA member or a Federal Public Defender? If yes, list where and the dates of service. Yes No Explain your commitment to indigent defense. Please describe any employment experience with the following offices: as a Judge as a U.S. Attorney as a Federal Public Defender as a CJA Panel Attorney as a District Attorney as a State Public Defender as an Attorney General as a City Attorney (Years) (Place)

Number of Cases tried (approximate): (Civil) (Criminal) Bench Jury Bench Jury U.S. District Court, Colorado Other U.S. District Court Colorado District Court Other State Court Colorado County Court Other County Court Colorado Juvenile Court Municipal Court On a separate sheet, please describe at least three jury trials, which you tried to verdict, that you believe qualify you for membership on the CJA Panel, including the case name, the charges, the name of the presiding judge, and of opposing counsel. Please also describe one case with a unique or complex motions or sentencing issue that resulted in a ruling from the court that you believe will help the committee evaluate your qualifications. IV. SPECIAL SKILLS / INTERESTS: A. If you believe you have special skills or knowledge which would make you more qualified to handle federal appointments, please specify. Include if you are proficient in a foreign language. B. What challenges do you perceive to be unique to federal court criminal practice?

C. What makes you particularly qualified to represent clients in United States District Court? D. As a member of the CJA Panel reapplying, what characteristic most makes you a strong panel attorney? E. What novel sentencing arguments have you made in light of the Guidelines becoming advisory (if applicable)? F. How do you manage a complex federal/state criminal case? G. How do you maintain a productive client-attorney relationship with a difficult client?

V. REFERENCES: The following are people familiar with my trial skills whom you may call for a reference: 1. Name Phone Number Email Address 2. 3. VI. ATTACHMENT: Please submit for review one REDACTED motion you have written. VII. MENTORING: If selected to the CJA Panel, would you be willing to participate in the Mentor Program? Yes No, thank you VIII. SELF CERTIFICATION: Please check one. I believe that I am capable of handling any criminal case to which I am appointed, including complex prosecutions. I believe that I am capable of handling any "routine" felony appointment under the Federal Criminal Code. Please check one: I hereby certify that I have a working knowledge of the Federal Rules of Criminal Procedure, the Federal Rules of Evidence and the United States Sentencing Commission Guidelines Manual, and am competent to try a federal criminal case. I make this certification of competency under Disciplinary Rule 6-101 of the Code of Professional Responsibility. I hereby certify that I have a working knowledge of the Federal Rules of Criminal Procedure, the Federal Rules of Evidence and the United States Sentencing Commission Guidelines Manual, and am competent to try a federal misdemeanor of petty offense case. I make this certification of competency under Disciplinary Rule 6-101 of the Code of Professional Responsibility. Signature Date Please mail or e-mail your application to: Office of the CJA Coordinating Attorney c/o Federal Public Defender 633 17 th Street, Suite 1000 Denver, CO 80202 Shawna_Geiger@fd.org