Application for Membership in the Orleans Parish Private Attorney Panel
  1. Instructions

    Before you begin please have all accumulated materials ready for upload or copy/paste.

    This includes any resumes, curriculum vitae, work chronologies, case chronologies, and recommendations. It is recommended you attach files in .doc or .pdf format or have your written documentation prepared ahead of time.

    This application has 6 (six) sections, or pages. You must complete each section before you move on to the next. It is not suggested that you take more than 30 minutes to complete and submit this form as your browser may timeout and reset your connection.

    Pay attention to fields marked with an (*) - these are required. You may NOT submit the application without filling out all required fields.

  2.  
  1. fields with (*) are required
  2. Applicant Name(*)
    Please enter your name
  3. Address(*)
    Please enter your address
  4. City(*)
    Please enter your city
  5. State(*)
    Please enter your state
  6. Zip Code(*)
    Please enter a valid zip-code
  7. Phone(*)
    Please enter a valid phone # in the format: 123-456-7890
  8. Fax Number
    Invalid Input
  9. Email Address
    Please enter a valid email address
  10. If your office address is not in the parish, state how far away it is and explain below how you would meet clients.
    Invalid Input
  11.  
  1. List what percentage (%) your practice is:
    Please give an approximation without the '%' sign
    civil
    Please give an approximation without the '%' sign
    criminal
  2. Date admitted to practice law in the State of Louisiana
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  3. Louisiana Bar Roll No.
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  4. I have been engaged in the active practice of criminal law since
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  6. Have you ever been disciplined by the bar association of any state or by any court?
    Please answer the question
  7. Please provide an explanation
    Please explain the nature of your disciplinary action
  8. In the past 5 (five) years preceding this application have you been arrested, summoned, charged or convicted of any criminal offenses? (excluding minor traffic violations)
    Please answer the question
  9. Please provide and explanation
    Please explain the nature of your summons or convictions
  10.  
  1. Please list or attach a listing of each law school and college you have attended, in reverse chronological order, including any degrees awarded and honors you have received. Note: If you have a combined resume/work history and references document please attach it here.(*)
    Please choose one
  2. Please list all the schools you have attended
    Please enter, or copy & paste your listing here
  3. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 5MB
  4. Please enter a listing or attach documentation of your work history since graduating from law school, as well as any other work experience that you believe to be relevant.
    Please choose one
  5. Please enter your work listing
    Please enter, or copy and paste your listing here
  6. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 1MB
  7. Please list or attach documentation listing all the courts you have been admitted to to practice and the date of your admission. For each please state whether you are currently a member of that bar association in good standing and if not, why.
    Please choose one
  8. Please enter a listing of courts
    Please enter, or copy and paste your listing here
  9. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 1MB
  10.  
  1. In how many criminal cases have you participated as sole, or lead counsel? (choose all that apply)
    Invalid Input
    Invalid Input
  2. Invalid Input
    Of those cases, how many were Felonies?
  3. Invalid Input
    Of those cases, how many were Misdemeanors?
  4. Of those cases, how many resulted in the following:
  5. Felony                                   Misdemeanor
  6. Negotiated Plea
    Invalid Input
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  7. Dismissal
    Invalid Input
    Invalid Input
  8. Other non-trial disposition
    Invalid Input
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  9. Jury trials to verdict
    Invalid Input
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  10. Bench trials to verdict
    Invalid Input
    Invalid Input
  11. Litigated motions
    Invalid Input
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  12. Preliminary hearings
    Invalid Input
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  13. Please list or attach a document detailing your last 5 (five) criminal jury trials, including: defendant's name, case number, charges, name of adversary, and judge.
    Please choose one
  14. Please enter a case listing
    Please enter or copy & paste your listing here
  15. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 1MB
  16. In how many civil cases have you participated as sole or lead counsel?
    Invalid Input
  17. Of these civil cases, how many resulted in:
  18. Invalid Input
    Jury trial that proceeded to a verdict
  19. Invalid Input
    A mid-trial settlement
  20. Invalid Input
    A dismissal or other non-trial disposition
  21. Invalid Input
    A pre-trial settlement
  22. Please list or attach a documentation that briefly summarizes your appellate experience in the last 5 (five) years. Include the following: jurisdiction, issue(s), disposition(s), and number of oral arguments. In addition, please report your last 5 (five) reported cases.
    Please choose one
  23. Please list your appellate experience
    Please enter or copy & paste your appellate experience here
  24. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 1MB
  25. Do you have any capital experience?
    Please choose one
  26. Please provide detailed explanation, either in the text box or attach documentation, that includes the number of cases tried, if the case went through the penalty phase, and if you were responsible for the trial/ penalty phase, or both.
    Please choose one
  27. Please enter your capital experience
    Please list or copy & paste your capital experience here
  28. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 1MB
  29.  
  1. Do you have any experience with a foreign language?
    Please choose one
  2. Please list your language(s)
    What language(s)?
  3. Please choose one
    Please choose your proficiency
  4. Please explain your language experience
    Please describe your language experience
  5. Have you ever been employed as a prosecutor, public defender, or law clerk to a judge or justice?
    Please choose one
  6. Please list enter your experience
    Please provide the name of the office, judge or justice and dates of employment
  7. Do you have any other legal training or experience which would qualify you for membership in the panel?
    Please choose one
  8. Please list your other experience
    Please detail your other experience here
  9. Please list or attach documentation of your professional references, including at least 2 (two) attorneys AND at least 2 (two) judges familiar with your professional competence.
    Please choose one
  10. Please enter your references
    Please enter or copy & paste your professional references here
  11. You have either forgotten to attach a file, or your file type is not supported.
    File limit: 1MB
  12. Release and Attestation
    please initial each box

  13. I hereby authorize all educational institutions, government agencies and instrumentalities (including bar associations and bar examiners of other jurisdictions), employers and business and professional associates (past and present), to release to OPD, any non-privileged information, files or records requested by them for the purpose of processing this application
    Please initial
  14. I further state that I have carefully read the foregoing application and certify that the information therein is true to the best of my knowledge and belief. I fully understand that failure to make a truthful disclosure of any fact or item of information required may result in the denial of my application, and such other action as the OPD deems appropriate
    Please initial
  15. I hereby certify that the information provided herein and above is accurate to the best of my knowledge as of today.
    Invalid Input
  16. Sign this electronic form by typing your full name here(*)
    Please type your full name
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Orleans Public Defenders
2601 Tulane Avenue
Suite 700
New Orleans, LA 70119
    Tel: (504) 821-8101
    Fax: (504) 821-5285