WPC' IO&3_North,,,,0(9 Z6Times New Roman RegularX(i$ XpXXX8DXXdXXd8USUS.,(O$Ԇ#4 !z3:i+003|x U,cAZArial   X (;3$2#  0  .3  0  3#37=CIQYag1.a.i.(1)(a)(i)1)a)i)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(# xAGaeimquy}Bullet ListBullets List 7#137=CIQYag1.a.i.(1)(a)(i)1)a)i)*+ (_2623  ..*D+J (_25   ," <DL,23  ..  2( 4 <DL2  *A+J (_24   ) <DL)23  ..  2( 4 <DL2  *>+J (_23  ` &<<DL&23  ..  2( 4 <DL2  *;+J (_22   #DL#23  ..  2( 4 <DL2  *8+J (_21    DL 23  ..  2( 4 <DL2  *5+J (_20  h DDL23  ..  2( 4 <DL2  *2+J (_19   L23  ..  2( 4 <DL2  */+J (_18    L23  ..  2( 4 <DL2  * (_1723  Ԁ*DJ (_16   ," <DL,23  Ԁ  2( 4 <DL2  *AJ (_15   ) <DL)23  Ԁ  2( 4 <DL2  *>J (_14  ` &<<DL&23  Ԁ  2( 4 <DL2  *;J (_13   #DL#23  Ԁ  2( 4 <DL2  *8J (_12    DL 23  Ԁ  2( 4 <DL2  *5J (_11  h DDL23  Ԁ  2( 4 <DL2  *2J (_10   L23  Ԁ  2( 4 <DL2  (/J &_9    L23  Ԁ  2( 4 <DL2  ( &_823  (DJ &_7   ," <DL,23   2( 4 <DL2  (AJ &_6   ) <DL)23   2( 4 <DL2  (>J &_5  ` &<<DL&23   2( 4 <DL2  (;J &_4   #DL#23   2( 4 <DL2  (8J &_3    DL 23   2( 4 <DL2  (5J &_2  h DDL23   2( 4 <DL2  (2J &_1   L23   2( 4 <DL2  &/J $_    L23   2( 4 <DL2  http://www.abanet.org/deathpenalty/DPGuidelines42003.pdf.mailto:maria_valenzuela@fd.org ! XXXX8@XXdd8USUS.,  _X/V@   xX XUnitedStatesDistrictCourt  @ DistrictofArizona(Tucson)  # XX x# @5 5   xX XAPPLICATIONSFORAPPOINTMENTON  @rr DEATHELIGIBLECASES "  # XX xĜ# X XTheDistrictCourtmaintainsapanelforappointmentofcounselindeatheligiblecase.Lawyersonthis  J panelarequalifiedbyexperience,highethicalstandards,andcommitmenttovigorousrepresentation.   ThoselawyersapprovedbytheDistrictCourttotakecourtappointedrepresentationinfederalpotential v  andDOJapproveddeathpenaltycaseswillneedto: 4    (Ay3"3"  32A3  0    atleastonceevery2years,attend6hoursormoreofspecializedtrainingfocusingondefending  B  deatheligiblecasesandprovideproofofsuchtotheFederalPublicDefender(seeGeneralOrder   0412forreportingyearandcertificationasanexample),and3݌n (#(# Ќ  "3"  32A3  0    workwithanothercourtappointedlawyerasa1stor2ndchairthroughoutthecasewhileindistrict ,|  court.3݌: (#(# Ќ  18U.S.C.3005;4; O  5  http://www.abanet.org/deathpenalty/DPGuidelines42003.pdf6O  7 -.     ConfidentialityStatement $t ThisformwillbekeptconfidentialandviewedonlybytheFederalPublicDefenderandtheCJAPanel 2 SelectionCommittee.Someindividuals,includingthoselistedintheapplication,maybecontacted.No  confidentialinformationwithinthisapplicationwillbedisclosedtoanyonecontacted. ^ Feelfreetosupplementyourresponsesonadditionalsheets.Sendorfaxthecompletedapplicationto: * @$JonM.Sands V @nnFederalPublicDefender d @HH"4< HO  5  jon_sands@fd.org6 O   7  # XX V# X XԈ " (/ / (#(#(  850WestAdams  Phoenix,AZ850072730 N (602)3822700  \ (800)7587053# XX l # X X  FAX:(602)3822800   407WestCongress,Suite501  Tucson,AZ857011310 N  (520)8797500  \! (800)7587054# XX u # X X " FAX:(520)8797600 # # XX #5(#(#/ /  5Name:_____________________________________2(#Phone:__________________ T# Address:___________________________________TT4(#FAX:__________________ :$   ____________________________________3(#Cell:__________________  % Email:_____________________________________0(#ArizonaBar#_____________ !& Jurisdictionslicensedtopractice:Arizona____$(#Yearfirstadmittedtopractice:______@(#(#K(# "'   Otherstates:_____________________________________________________ #(   U.S.DistrictCourts:________________________________________________ h$)   U.S.AppellateCourtCircuits:1st0  2nd0(#(#3rd0p(#(#4th0p(#p(#5th0 (#(#6th0x (# (#7th0 x(#x(#8thN% * (# (#    `     h 9th0  10th0(#(#11th0p(#(#U.S.SupremeCourt_____4&!+p(#p(# Certifiedcriminalspecialist?0 h Yes0h(#h(#No'j",(#(# Applicationto1stchair____0 h 2ndchair_____afederaldeatheligiblecase.(P#-h(#h(# Languagesspoken:0  Spanish_____0(#(#Other___________________________)%/(#(#    `     h      p __________________________ *&0    `     h      p __________________________ +&1   ~,'2 /V XX   GeneralCriminalPractice   ! ! (#17y2 #1  1  .3  ԀPriorlegalemploymentgoingback10years:  0  Dates `  Whereh(#(#   ________________________________________________________________ N   ________________________________________________________________     ________________________________________________________________  P   ________________________________________________________________ Y     ________________________________________________________________      ________________________________________________________________  [    ________________________________________________________________ d    ________________________________________________________________   2 #1  2  .3  ԀHaveyoueverworkedasapublicdefender,prosecutororinlawenforcement? L   Ifyes,pleaseprovidedatesandwhere. 2 0  ________________________________________________________________  ________________________________________________________________ !q ________________________________________________________________ z ________________________________________________________________ # ________________________________________________________________ ,| ________________________________________________________________!(#(# 2 #1  3  .3  ԀHaveyouevertaughtatalawschool,paralegalcourse,criminaljusticeprogram,or $ lawenforcementtraining: % 0  Ifyes,pleaseprovidedates,where,andsubject(s)taught: &(#(# 0  ________________________________________________________________ v!' ________________________________________________________________ ") ________________________________________________________________ ($x+ ________________________________________________________________ % - ________________________________________________________________ &*"/ ________________________________________________________________3(#1(#(# a   r*%4 2 #1  4  .3  ԀHavebeenorareyounowonanycourtappointedattorneylists?Ifyes,please  providedatesandwhere.  0  ________________________________________________________________ | ________________________________________________________________ % ________________________________________________________________ . ~ ________________________________________________________________   ________________________________________________________________  0  ________________________________________________________________9  (#(# #2 #1  5  .3  ԀInanytrialormotionhearing,haveyouchallengedorpresentedtestimony ^  regarding: D    fingerprints_____0  ballistics_____0(#(#forensicpathology_____0x(#(#DNA_____*z x(#x(#   mentalstatus:_____0 h other:_____________________________________`h(#h(# If yes,pleaselistupto5cases: F Defendant:_________________________________^^3(#Court:_________________  Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________1(#DeathEligiblecase?_____  Issue(s):______________________________________________________________ t Resultsandcomments:__________________________________________________ Z _____________________________________________________________________ @ _____________________________________________________________________ &v _____________________________________________________________________  \ Defendant:_________________________________^^3(#Court:_________________ ( Prosecutor(s):___________________________________TT4(#CaseNo._______________   Judge:__________________________________1(#DeathEligiblecase?_____ ! Issue(s):______________________________________________________________  " Resultsandcomments:__________________________________________________ p!# _____________________________________________________________________ V"$ _____________________________________________________________________ <#% _____________________________________________________________________ "$r& Defendant:_________________________________^^3(#Court:_________________ %>!( Prosecutor(s):___________________________________TT4(#CaseNo._______________ &$") Judge:__________________________________1(#DeathEligiblecase?_____ ' #* Issue(s):______________________________________________________________ (#+ Resultsandcomments:__________________________________________________ )$, _____________________________________________________________________ l*%- _____________________________________________________________________ R+&. _____________________________________________________________________ 8,'/   .T)1 Defendant:_________________________________^^3(#Court:_________________  Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________1(#DeathEligiblecase?_____ | Issue(s):______________________________________________________________ b Resultsandcomments:__________________________________________________ H _____________________________________________________________________ . ~ _____________________________________________________________________  d _____________________________________________________________________  J _Defendant:_________________________________^^3(#Court:_________________    Prosecutor(s):___________________________________TT4(#CaseNo._______________    Judge:__________________________________1(#DeathEligiblecase?_____   Issue(s):______________________________________________________________ x  Resultsandcomments:__________________________________________________ ^  _____________________________________________________________________ D  _____________________________________________________________________ *z  _____________________________________________________________________ ` 2 #1  6  .3  ԀHaveyoueverpresentedtestimonyforsentencingmitigation?If yes,pleaselistup  to5cases:  Defendant:_________________________________^^3(#Court:_________________ t Prosecutor(s):___________________________________TT4(#CaseNo._______________ Z Judge:__________________________________1(#DeathEligiblecase?_____ @ Issue(s):______________________________________________________________ &v Resultsandcomments:__________________________________________________  \ _____________________________________________________________________ B _____________________________________________________________________ ( _____________________________________________________________________  Defendant:_________________________________^^3(#Court:_________________   Prosecutor(s):___________________________________TT4(#CaseNo._______________ p!  Judge:__________________________________1(#DeathEligiblecase?_____ V"! Issue(s):______________________________________________________________ <#" Resultsandcomments:__________________________________________________ "$r# _____________________________________________________________________ %X $ _____________________________________________________________________ %>!% _____________________________________________________________________ &$"&   (#( Defendant:_________________________________^^3(#Court:_________________  Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________1(#DeathEligiblecase?_____ | Issue(s):______________________________________________________________ b Resultsandcomments:__________________________________________________ H _____________________________________________________________________ . ~ _____________________________________________________________________  d _____________________________________________________________________  J Defendant:_________________________________^^3(#Court:_________________    Prosecutor(s):___________________________________TT4(#CaseNo._______________    Judge:__________________________________1(#DeathEligiblecase?_____   Issue(s):______________________________________________________________ x  Resultsandcomments:__________________________________________________ ^  _____________________________________________________________________ D  _____________________________________________________________________ *z  _____________________________________________________________________ ` Defendant:_________________________________^^3(#Court:_________________ , Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________1(#DeathEligiblecase?_____  Issue(s):______________________________________________________________  Resultsandcomments:__________________________________________________ t _____________________________________________________________________ Z _____________________________________________________________________ @ _____________________________________________________________________ &v  DeathEligiblePractice  B 2 #1  7  .3  ԀHaveyouattendedseminarsspecificallyconcerningdeatheligiblerepresentation?  If yes,pleaselistthoseattendedinthepast5years.  Date(s):______________________HH%(#Location:_____________________________ v!  Sponsor:____________________________________5(#Hours:_______________ \"! Title:_________________________________________________________________ B#" Date(s):______________________HH%(#Location:_____________________________ %^ $ Sponsor:____________________________________5(#Hours:_______________ %D!% Title:_________________________________________________________________ &*"& Date(s):______________________HH%(#Location:_____________________________ (#( Sponsor:____________________________________5(#Hours:_______________ )$) Title:_________________________________________________________________ r*%* Date(s):______________________HH%(#Location:_____________________________ >,', Sponsor:____________________________________5(#Hours:_______________ $-t(- Title:_________________________________________________________________  .Z). ЇDate(s):______________________HH%(#Location:_____________________________  Sponsor:____________________________________5(#Hours:_______________  Title:_________________________________________________________________ | Date(s):______________________HH%(#Location:_____________________________ H Sponsor:____________________________________5(#Hours:_______________ . ~ _Title:_________________________________________________________________  d 2 #1  8  .3  ԀHaveyourepresentedattriallevelanypersonpotentiallyexposedandactually  0 exposedtothedeathpenalty?If yes,pleaselistupto5cases:    Defendant:_________________________________^^3(#Court:_________________   Prosecutor(s):___________________________________TT4(#CaseNo._______________ x  Judge:__________________________________BB3(#1stchair2ndchair ^  Issue(s):______________________________________________________________ D  Resultsandcomments:__________________________________________________ *z  _____________________________________________________________________ ` _____________________________________________________________________ F _____________________________________________________________________ , Defendant:_________________________________^^3(#Court:_________________  Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________BB3(#1stchair2ndchair t Issue(s):______________________________________________________________ Z Resultsandcomments:__________________________________________________ @ _____________________________________________________________________ &v _____________________________________________________________________  \ _____________________________________________________________________ B Defendant:_________________________________^^3(#Court:_________________  Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________BB3(#1stchair2ndchair   Issue(s):______________________________________________________________ p!  Resultsandcomments:__________________________________________________ V"! _____________________________________________________________________ <#" _____________________________________________________________________ "$r# _____________________________________________________________________ %X $ Defendant:_________________________________^^3(#Court:_________________ &$"& Prosecutor(s):___________________________________TT4(#CaseNo._______________ ' #' Judge:__________________________________BB3(#1stchair2ndchair (#( Issue(s):______________________________________________________________ )$) Resultsandcomments:__________________________________________________ l*%* _____________________________________________________________________ R+&+ _____________________________________________________________________ 8,', _____________________________________________________________________ -n(-  .T). Defendant:_________________________________^^3(#Court:_________________  Prosecutor(s):___________________________________TT4(#CaseNo._______________  Judge:__________________________________BB3(#1stchair2ndchair | Issue(s):______________________________________________________________ b Resultsandcomments:__________________________________________________ H ______________________________________________________________________ . ~ _____________________________________________________________________  d _____________________________________________________________________  J 2 #1  9  .3  ԀHaveyourepresentedonappealanypersonsentencedtodeath?(Postconviction    representationisaskedlater.)If yes,pleaselistupto5cases:    Defendant:_________________________________^^3(#Court:_________________ x  Prosecutor(s):_________________________________________________________ ^  Judge:__________________________________3(#CaseNo._______________ D  Issue(s):______________________________________________________________ *z  _____________________________________________________________________ ` _____________________________________________________________________ F _____________________________________________________________________ , Resultsandcomments:__________________________________________________  _____________________________________________________________________  _____________________________________________________________________  _____________________________________________________________________ t Defendant:_________________________________^^3(#Court:_________________ @ Prosecutor(s):_________________________________________________________ &v Judge:__________________________________3(#CaseNo._______________  \ Issue(s):______________________________________________________________ B _____________________________________________________________________ ( _____________________________________________________________________  _____________________________________________________________________  Resultsandcomments:__________________________________________________   _____________________________________________________________________ p!  _____________________________________________________________________ V"! _____________________________________________________________________ <#" Defendant:_________________________________^^3(#Court:_________________ %X $ Prosecutor(s):_________________________________________________________ %>!% Judge:__________________________________3(#CaseNo._______________ &$"& Issue(s):______________________________________________________________ ' #' _____________________________________________________________________ (#( _____________________________________________________________________ )$) _____________________________________________________________________ l*%* Resultsandcomments:__________________________________________________ R+&+ _____________________________________________________________________ 8,', _____________________________________________________________________ -n(- _____________________________________________________________________ .T). ЇDefendant:_________________________________^^3(#Court:_________________  Prosecutor(s):_________________________________________________________  Judge:__________________________________3(#CaseNo._______________ | Issue(s):______________________________________________________________ b _____________________________________________________________________ H _____________________________________________________________________ . ~ _____________________________________________________________________  d Resultsandcomments:__________________________________________________  J _____________________________________________________________________  0 _____________________________________________________________________    _____________________________________________________________________    2 #1  10  .3  ԀIfyouhaveeverbeenaprosecutor,asaprosecutordidyouprosecuteanycasein ^  whichthegovernmentpotentiallycouldhavesoughtordidseekthedeathpenalty? D    Yes ` No   If yes,pleasecomment:___________________________ *z  _____________________________________________________________________ ` _____________________________________________________________________ F _____________________________________________________________________ , _____________________________________________________________________  _____________________________________________________________________  _____________________________________________________________________   Other  Z 2 #1  11  .3  ԀPleaselistatleast2judicialreferences. ,| Name___________________________________3(#Phone__________________ b Court________________________________________________________________ H Name___________________________________3(#Phone__________________  Court________________________________________________________________  2 #1  12  .3  ԀPleaseincludeanyotherinformationyoufeelisimportanttoknowinassessing \"! yourinclusionontheFederalDeathEligiblePanel. B#" _____________________________________________________________________ ($x# _____________________________________________________________________ %^ $ _____________________________________________________________________ %D!%   Theinformationinthisapplicationistrueandtobeusedonlyformyapplication (#( totheUnitedStatesDistrictCourtDeathPenaltyCJAPanel. )$) Date:______________0  0h(#(#0h(#h(#_____________________________________>,',(#(#    `     h   Signature  $-t(-  Other:Confidential   2 #1  13  .3  ԀHaveyoueverbeenarrested,chargedorconvictedforviolationofanyfederallaw,  statelaw,countyormunicipallaw,regulationorordinance?  Yes_____ x No_____ h Ifyes,pleasegivedetails.(Donotincludetrafficviolationsforwhichafineof$50or N lesswasimposedunlessitalsoincludedajailsentence.)_______________________ 4  _____________________________________________________________________  j _____________________________________________________________________ s  _____________________________________________________________________    _____________________________________________________________________ %u  _____________________________________________________________________ ~  }2 #1  14  .3  Ԁ(a)Haveyoueverhadaclaimprosecutedorbeensuedbyaclient?Ifyes,please   giveparticulars,includingresults.__________________________________________   _____________________________________________________________________  _____________________________________________________________________ 2 _____________________________________________________________________ ; _____________________________________________________________________  ƀ  (b)Haveyouoryourprofessionalliabilityinsurancecarriereversettledaclaim = againstyouforprofessionalmalpractice?Ifyes,pleasegiveparticulars,includingthe # amountsinvolved.______________________________________________________   _____________________________________________________________________  _____________________________________________________________________ H  _____________________________________________________________________ Q" _____________________________________________________________________ $ 2 #1  15  .3  ԀHaveyoueverbeenchargedinanycivilorcriminalproceedingswithconduct !9' allegedtoinvolvemoralturpitude,dishonestyand/orunethicalconduct?Ifyes,please "( giveparticulars,includingthefullstyleofthecause.____________________________ #) _____________________________________________________________________ $* _____________________________________________________________________ %D!, _____________________________________________________________________ M'". _____________________________________________________________________ (#0   *5&3 2 #1  16  .3  ԀHaveyoueverbeendisciplinedorcitedforabreachofethicsorunprofessional  conductbyanycourt,administrativeagency,barassociationorotherprofessional  group?Ifyes,pleasegivetheparticulars.____________________________________ | _____________________________________________________________________ b _____________________________________________________________________   _____________________________________________________________________  d _____________________________________________________________________ m   2 #1  17  .3  ԀStateanyotherpertinentinformationreflectingadverselyonyouwhichyoubelieve    shouldbedisclosedinconnectionwithyourpossiblerepresentationofdeatheligible   cases._______________________________________________________________ x  _____________________________________________________________________ ^  _____________________________________________________________________     Theinformationinthisportionofthe_application_Ԁistrue,istobekeptin F confidence,andtobeusedonlyformyapplicationtotheUnitedStatesDistrictCourt , DeathPenaltyCJAPanel.  Date:______________0  0h(#(#0h(#h(#_____________________________________t(#(#    `     h   Signature