Pro Bono Civil Panel Questionnaire and Application
United States District Court
Northern District of Texas
Firm Name (if any):
Date Admitted to Texas Bar:
Date Admitted to N.D. Texas:
Attorney Bar Number:
Other federal district and appellate courts admitted to (and dates admitted):
Professional memberships and affiliations:
experience by proving approximate totals in the following categories:
Briefly describe your trial experience in both federal and state court (including criminal trial work).
Please list the names and phone numbers of two judges and/or attorneys who know of your ability as a trial attorney:
How many appointments are you willing to accept per year?
Are you fluent in any foreign language(s)? If so, list:
Are you willing to take appointments based on your foreign language proficiency?
Have you already handled a case through this panel?
If so, when?
Are you currently working on it?
If you have completed work on the case, how was it resolved (jury trial, settlement, etc)?
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT.
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