2022 APPLICATION UPDATE 
	FOR THE COURT OF APPEALS 
	CURRENT CJA LIST MEMBERS
DEADLINE August 29, 2022

Name: ________________________________________________

1.  Since your last application have you been in this jurisdiction or any jurisdiction where you are barred (you must answer each question in the affirmative or negative):

            a.  Convicted of any crime, other than a minor traffic offense; 

	 b.  Sued by any client;

	 c.  Found to have rendered ineffective assistance of counsel; 

	d.  Disciplined or cited for a breach of ethics or professional conduct; 

	e.  Removed or suspended from any court approved appointment list; or;

f.   Been the subject of any bar complaint or notified that a complaint has been filed, regardless of whether discipline was   imposed?

	If the answer to any sub-part of this question is yes, provide a full explanation. 

2.	Please provide any other information that would be helpful in assessing your qualifications and ability to continue to represent indigent appellants in criminal and delinquency appeals, including relevant training on criminal issues, oral argument, and brief writing. 

3.	If you have asked the court to limit your appointments, or if you have sought numerous extensions of time during the preceding year, please provide the court with information on your efforts to resolve these issues.  Additionally, provide a list of these matters and the current date that the pleading is due.

4.	I certify that I satisfied my 2022 CLE obligation and am aware that the 2022 CLE requirement must be completed by December 31, 2022. 

I hereby certify that: (1) I have responded accurately to the questions above to the best of my ability to do so; (2) I am a member in good standing of the bar of the District of Columbia and any other state where I am barred; and (3)  I have 

reviewed and agree to comply with the obligations outlined in the “Obligations of Counsel” memorandum, the Continuing Legal Education requirements identified in Miscellaneous Order No. M-217-03, and the 2006 Notice to CJA Counsel Concerning the Annual CLE Requirement, and the November 2015 Voucher Guidelines.  These documents are available on the Court’s website.	

	I also agree by signing and submitting this application for continued participation on the CJA panel that I am waiving confidentiality for the purpose of Disciplinary Counsel releasing information regarding my disciplinary records to the D.C. Court of Appeals.  

					
  Date: _________________		Signature: ________________________                                                         

  Email Address: _______________________      Bar number: __________________________

You must email this form to: CJAApplication@dcappeals.gov.