Application_Roster Step 1 of 4 25% Applicant InformationName First Middle Last Bar NumberDate of Admission MM slash DD slash YYYY Email Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone (office)Phone (cell)I am applying to have my name added to the following roster(s): Capital Post Conviction LIst If I am not approved for the capital post-conviction roster, I would like to be considered for appointment in non-capital post-conviction cases. Yes No Are you or a paralegal in your office fluent in another language? Yes No EligibilitySee IDS Rules for Providing Legal Representation in Capital Cases, Appendix 2C, Rules 2C.1(a) (App.) and 2C.2(b) (App.)General Litigation ExperienceCheck one of the boxes below I have at least five years of criminal or civil trial experience. I have at least five years of criminal or civil appellate experience. I have at least five years of state or federal post-conviction experience. I have at least three years of concentrated criminal litigation experience. I am currently in practice in a capital defense organization. I am requesting a waiver of this requirement. ExperienceList below any pending capital cases (trial, appellate, or post-conviction) in which you are counsel of record. (Attach an additional sheet if necessary.):It is important that you list all pending capital cases (trial, appellate, or post-conviction) in which you are counsel of record. Use “+” icon to the right of “name of prosecutor” to add additional fields.Case NameCountyName of JudgeName of Prosecutor Add RemoveAppellate or Post-conviction ExperienceHave you had primary responsibility for representing a party in at least three criminal or civil appeals, or criminal post-conviction proceedings?Case NameCase No.CourtOutcomeCitation, if reported Check here if a capital case Case NameCase No.CourtOutcomeCitation, if reported Check here if a capital case Case NameCase No.CourtOutcomeCitation, if reported Check here if a capital case Case NameCase No.CourtOutcomeCitation, if reported Check here if a capital case Training ProgramsList below any specialized capital or criminal appellate advocacy, or other criminal practice program, that you have attended within the past five years. se “+” icon to the right of “sponsor” to add additional fields.DateProgramSponsor Add RemoveExpert Witness and Evidence ExperienceSummarize below your experience and familiarity with the use of expert witnesses, and scientific and medical evidence. (Attach an additional sheet if necessary.) ReferencesList below the names, addresses, and phone numbers of prosecutors and defense attorneys who are familiar with your professional work. You may also list the name, address, and phone number of one judge who is familiar with your professional work. Do not list as a contact your partners or associates in your law firm, your relatives by blood or marriage, or those with whom you are involved in any continuing commercial relationship. At least one reference listed below must have been an opposing counsel. Use “+” icon to the right of “email” to add additional fields.ListName (Last, First)Role (e.g., "judge")Email address Add Remove Attached SubmissionsSee IDS Rules for Providing Legal Representation in Capital Cases, Appendix 2C, Rule 2C.2(b) (App.)I have attached the following required submissions A complete resume of my educational and legal experience. Two or more examples of substantial written legal work product prepared by myself in connection with separate cases, or two or more appellate briefs, written exclusively or primarily by myself, the opposing briefs, and the appellate court’s decision in the case. FileMax. file size: 50 MB.I have also attached the following additional material that may assist the IDS Director in evaluating my post-conviction qualifications and experience: Add RemoveFileMax. file size: 50 MB.I, the undersigned, certify that I have given true, accurate, and complete information on this application to the best of my knowledge. I authorize the IDS Office to investigate all information provided in this application and supporting submissions. I understand that false information, false documentation, or a failure to disclose relevant information may be grounds for rejection of my application. I consent to a confidential inquiry by the IDS Office of the contacts listed in this application and others familiar with my competence, for the purpose of determining whether I fulfill the requirements to be placed on the roster of attorneys eligible for appointment as post-conviction counsel in a capital case. I further understand that all information received by the IDS Office in conjunction with this application, including reference information, shall be confidential and available for use only by the IDS Office or any appropriate committee of the IDS Commission, and shall not be disclosed except as required by law. By submitting this application, I explicitly waive the right to review reference information obtained by the IDS Office. I have read the IDS Rules for Providing Legal Representation in Capital Cases, Part 2 and Appendix, and agree to abide by the rules and conditions of appointment set forth there.I, the undersigned, certify that I have given true, accurate, and complete information on this application to the best of my knowledge. I authorize the IDS Office to investigate all information provided in this application and supporting submissions. I understand that false information, false documentation, or a failure to disclose relevant information may be grounds for rejection of my application. I consent to a confidential inquiry by the IDS Office of the contacts listed in this application and others familiar with my competence, for the purpose of determining whether I fulfill the requirements to be placed on the roster of attorneys eligible for appointment as post-conviction counsel in a capital case. I further understand that all information received by the IDS Office in conjunction with this application, including reference information, shall be confidential and available for use only by the IDS Office or any appropriate committee of the IDS Commission, and shall not be disclosed except as required by law. By submitting this application, I explicitly waive the right to review reference information obtained by the IDS Office. I have read the IDS Rules for Providing Legal Representation in Capital Cases, Part 2 and Appendix, and agree to abide by the rules and conditions of appointment set forth there. I certify as follows.List Add Remove