OAKLAND COUNTY CRIMINAL ASSIGNMENT APPLICATION All attorneys seeking appointments for the representation of indigent criminal defendants must have their principal place of business in OAKLAND COUNTY and must submit this application to the Circuit Court Administrator's Office. 1. Name Principal Business Address Business Phone Number 2. Member of the State Bar of Michigan since 3. For which Category or Categories do you wish to be considered: Category I Category II Category III Category IV Capital Offenses - sentence with maximum of life Major Felony - sentence in excess of five years to less than life, and negligent homicide Felony - sentence in excess of two years up to and including five years' imprisonment Felony/High Misdemeanor - sentence up to and including two years' imprisonment, except negligent homicide __________% Criminal Fax Number Bar Number Social Security Number 4. The nature of your present practice: __________% Civil 5. Criminal defense practice experience: a. Number of State Court criminal defense case representations within the past three years: Date of most recent case: ____________________________________ b. Number of FederalCourt criminal defense case representations within the past three years: Date of most recent case: ____________________________________ c. Number of criminal defense trials: (jury) _________ (jury) _________ (non-jury) __________ (non-jury) __________ d. Number of prosecuted trials: 6. On the attached sheet, please list your criminal jury trial experience within the past three years: 7. Civil trial experience (explain briefly, give number and types of cases) 8. List any positions held within the Criminal Justice system (date by year, specify county or federal entity) a. Served in Defender's Office b. Served in Prosecutor's Office c. Law School Criminal Clinical experience (1) School d. Judicial clerkship: Judge whom you have tried a criminal case: (2) Year(s) Court Year(s) 9. List any Judge before whom you have tried a felony criminal case. If less than three, list up to three District Judges before 10. List any Federal Judge(s) before whom you have practiced criminal law: 2001 � American LegalNet, Inc. 11. List the names of three attorneys as personal references: (a) (b) (c) 12. List any criminal law committees, criminal law sections or criminal defense organizations of which you are a member: 13. List any seminars, workshops or training sessions on criminal law in which you have participated as a speaker or presenter within the last three years: 14. List publication source and date for any articles which you have published concering criminal law issues: 15. List any seminars or workshops on criminal law, procedure or evidence you have attended within the last three years: 16. Are you fluent in any foreign language? If so, please indicate: 17. Do you have any specialized legal training or experience? If so, please list (e.g., appellate, accounting, etc.): 18. Have you ever been reprimanded, suspended or disbarred from the practice fo law in this state or any other state in which you are licensed to practice law? (If so, please explain): If appointed to represent an indigent criminal defendant, I agree to be a mentor to a less experienced attorney and I will allow another attorney to second-chair a case to permit him/her to gain criminal practice experience. Your criminal assignment system file will be maintained by the Circuit Court Administrator's Office. The press/public periodically requests access to such files. By checking this box you hereby authorize the Court Administrator's Office to provide access to your file upon request. If appointed to represent an indigent criminal deffendant, I, personally, not another member of my firm, will represent my client at all proceedings. If I cannot attend a proceeding on behalf of my client, I agree to obtain substitute counsel who is certified by the Criminal Assignment Committee to accept appointments at the appropriate level. I agree to abide by the Standards for Assigned Counsel as promulgated by the Criminal Assignment Committee. I further agree to attend training sessions and/or continuing legal education seminars on the subject of criminal law as determined by the Criminal Assignment Committee. I hereby certify that the above information is true. Date: Signature: The Circuit Court Administrator's Office Attn: Criminal Assignment Committee 1200 North Telegraph Road, Dept. 404 Pontiac, MI 48341-0404 Return application to: (248) 858-0345 2001 � American LegalNet, Inc. OAKLAND COUNTY CRIMINAL ASSIGNMENT APPLICATION CRIMINAL JURY TRIAL INFORMATION SHEET Category I: Please list your most recent criminal jury trials within the last three (3) years in which the underlying offense was a capital offense: (If you list six (6) criminal jury trial in this category, you do not need to complete Category II, III or IV below.) Case Name & Number 1. 2. 3. 4. 5. 6. Category II: Please list your most recent criminal jury trials within the last three (3) years in which the underlying offense was an offense greater than five (5) years but less than life, including negligent homicide. Court & Judge Offense(s) Trial Date (If you list six (6) criminal jury trial in this category or in combination with Category I, you do not need to complete Category III or IV below.) Case Name & Number 1. 2. 3. 4. 5. Category III: Please list your most recent criminal jury trials within the last three (3) years in which the underlying offense was a felony in excess of two (2) years and up to and including five (5) years. Court & Judge Offense(s) Trial Date Court & Judge Offense(s) Trial Date Case Name & Number 1. 2. 3. 4. 5. Category IV: Please list your most recent criminal jury trials within the last three (3) years in which the underlying offense was a felony /high misdemeanor up to and including two (2) years, except negligent homicide. Court & Judge Offense(s) Trial Date Case Name & Number 1. 2. 3. 4. 5. IF YOU NEED TO SUPPLY ADDITIONAL JURY TRIAL INFORMATION PLEASE ATTACH A SEPARATE SHEET. 2001 � American LegalNet, Inc.