*First Name: |
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Middle Name: |
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*Last Name: |
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*Firm or School/University Name: |
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*Firm or School/University Address: |
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City: |
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State: |
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Zip: |
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County: |
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*Office Phone: |
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Please enter Office Phone in the format: 555-555-5555 |
Office Fax: |
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Please enter Office Fax in the format: 555-555-5555 |
Home Address: |
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Home City: |
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Home State: |
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Home Zip: |
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Home Country: |
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Home Phone: |
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Please enter Home Phone in the format: 555-555-5555 |
Cell: |
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*Email Address: |
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Website: |
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*Professional Status: |
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New Investigator or Para-Professional member applicants are required to provide two (2) CCDB Attorney Member reference letters to verify that the applicant is engaged in investigative, para-professional, or other work in support of criminal defense. Please send letters and current CV to office@ccdb.org. Call 303.758.2454 if you have any questions.
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*Date Admitted to BarExpected Graduation Date: |
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*Bar Number: |
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(Date originally admitted to the bar in any state) |
*Have you ever been convicted of a felony in any court/state/US district |
Yes
No
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Please explain in detail: |
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Other State(s) Licensed: |
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*Include me on the Sliding Scale list: |
Yes
No
(low-pay, slow-pay)
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Jurisdictions Served: |
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*ADC Member: |
Yes
No
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