COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. APPLICATION FOR MEMBERSHIP : JUDICIAL SUBPOENA Plaintiff(s) ON THE CRIMINAL JUSTICE ACT MISDEMEANOR PANEL FOR THE -against- UNITED STATES DISTRICT COURT : FOR THE DISTRICT OF MARYLAND : The following Application is to be completed by attorneys requesting to represent defendants under the provisions of the Criminal Justice Act in the United States District Court for the District of Maryland in misdemeanor cases. The Application is to be printed or : typed.* 1. NAME Defendant(s) _____________________________________________________________________________________ : ...................................................... Office Address: _____________________________________________________________________________________ City/County _______________________________State: _____________________Zip Code: ___________________ THE PEOPLE OF THE STATE OF NEW YORK Office Phone: _____________________________________________________________________________________ Cell Phone/ E-Mail TO _____________________________________________________________________________________ Maryland U. S. District Court Bar No. _______________________________________________________________________ Social Security No. ________________________________________________________________________________________ * The CJA payment system REQUIRES a Social Security No. for all attorneys for identification purposes. The number will GREETINGS: not appear on your voucher and will remain confidential. WE COMMAND YOU, INCOME MUST BE CREDITED TO: that all business and excuses being laid aside, you and each of you attend before the Honorable at the Court Social Security No. ________________________ -at - Employer Identification No. _______________________________ located OR County of please noon, in room , on the day of , 20 , at o'clock in the provide and at any recessed or adjourned date, to testify and give 2. EDUCATION AND BAR ADMISSIONS: evidence as a witness in this action on the part of the Graduated from ___________________________________________ Law School on: _________________________________ Admitted to practicefailure to list jurisdiction of first admission) _________________________________________________ Your in (please 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 on __________________________________________. issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Admitted to practice in the United States District Court for the District of Maryland on ______________________________ Witness, Honorable , one of the Justices of the Admitted to practice in the United States Court of Appeals for the Fourth Circuit on ________________________________ Court in County, 3. DISCIPLINARY ACTIONS: day of , 20 Have you ever been disciplined (or are you the subject of any pending disciplinary action) by the Bar of any jurisdiction or by any Court? _________ If so, please explain on a separate sheet of paper bearing your name andsign above what the discipline was and (Attorney must address, and type name below) the nature of the conduct that led to the disciplinary action. 4. Please indicate whether you have any special qualifications, such as fluency in a foreign language, which you believe the Selection Committee should be aware of in reviewing your application. Attorney(s) for ________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 5. Please list prior trial experience in federal or state court: Office and P.O. Address ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 6. Judicial Clerkship: No________ Yes_______________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com , COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. If answer is yes, please provide the name of the Judge:_____________________________________________ : Plaintiff(s) JUDICIAL SUBPOENA 7. Condition of Membership -against: To be a member of the misdemeanor panel you must certify that you are willing to attend the training programs, provided by the court at no cost, AND that you have read the CJA Misdemeanor Practice Manual. The manual is located on the court’s web site at www.mdd.uscourts.gov in the CJA section. : PLEASE NOTE: : THE MAJORITY OF CJA CASES ARE ASSIGNED TO DUTY DAY VOLUNTEER PANEL MEMBERS You must volunteer for duty day assignments. We assign duty days to misdemeanor panel members two times a year for the next six Defendant(s) : month period, generally. in.May . . . December. Court .staff. check . . . . docket. to.verify there is a sufficient number of initial appearances . . . . . . . . . . . . . . . and . . . . . . . . . . . . . . . . . . each . . . . . . . . scheduled to insure appointments for the Office of the Federal Public Defender and the panel attorney. The CJA plan for the District of Maryland provides that 25% of CJA cases should be assigned to the panel and the remaining 75% are assigned to the Office of the Public Defender. However, there is always a possibility that changes to a docket may be required, or that clients may fail to appear. If there are insufficient cases to provide an appointment to the duty day attorney, then the court cannot compensate you for the time spent in court on your duty day. OF THE STATE OF NEW YORK THE PEOPLE It is also the court’s policy to limit claims for travel time to the actual driving time to each court location, not to exceed one hour, and your mileage reimbursement is limited to the lesser of your actual mileage or forty miles for each court appearance. TO I certify that I have reviewed the CJA Misdemeanor Practice Manual and that I will attend the training programs for panel members provided by the court. I understand that failure to attend the training programs will result in my removal from the CJA misdemeanor panel. GREETINGS: I HAVE REVIEWED THE COURT’S POLICY REGARDING DUTY DAY ASSIGNMENTS. I AM WILLING TO WE A DUTY DAY AT that OF THE FOLLOWING COURT aside, you and VOLUNTEER FORCOMMAND YOU,ONEall business and excuses being laid LOCATIONS. each of you attend before , the Honorable at the Court located at County of GEOGRAPHICAL LOCATION in room , on the day of , 20 , at o'clock in the noon, and at any recessed __ BALTIMORE date, to testify and give evidence as a witnessANDREWS AIR FORCE the HYATTSVILLE or adjourned __ GREENBELT ___ ABERDEEN ___ in this action on the part of ____ I declare under the penalties of perjury that the foregoing answers and statements are true and correct. 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. Date: ______________________________________________ ________________________________ Witness, Honorable , one of the Justices of the ______________ Court in County, day of , 20 (Signature of Applicant) The application should be sent to: Donna P. Shearer, Esq. CJA Supervising Atty. 101 W. Lombard Street Room 8-A Baltimore, Md 21201 Revised 1/05 (Attorney must sign above and type name below) Attorney(s) for Misdemeanor Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com