IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TEXAS 2011 JA -4
DEL RIO DIVISION M AM II: 06
ADMISSION TO PRACTICE
THROUGH THE DEL RIO DIVISION
STANDING ORDER REVISING THE POLICY FOR
ADMISSION OF ATTORNEYS IN THE DEL RIO DIVISION
II. ADMISSION TO PRACTICE IN THE WESTERN DISTRICT OF TEXAS
THROUGH APPLICATION IN THE DEL RIO DIVISION
District of Texas through the Del Rio Division must comply with all of the
requirements of Rule AT -1 of the Local Rules of the Western District of Texas,
Adopted and approved by the Court on this 4th day of January, 201l.
~~
ALIA MOSES
United States District Court Judge
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TEXAS
APPLICATION FOR ADMISSION
TO PRACTICE IN THE DEL RIO DIVISION
Instructions: Type or print your answers. Answer all questions fully. If the question does not apply
to you, answer “NA.” An incomplete response will delay processing of your application. Where
the space provided is insufficient, answer on additional sheets, with reference to the question.
Accompanying this application, you must provide the following:
(1) Proof of completion of the seminar requirement of Local Rule AT-1(b)(2);
(2) Certificate of good standing in a state bar; and
(3) Two letters of recommendation from attorneys licensed and in good standing in
the Del Rio Division.
1. (a) Full Name ____________________________________________________________
(Last) (First) (Middle)
(b) If you have ever been known by any other name, state the name and the reason for
using it:
________________________________________________________________________
( c) Your name as you wish it to appear on the register:
________________________________________________________________________
2. (a) Date of birth: ______________________________________
(b) Place of birth: _____________________________________
( c) If not native born, give date and place of naturalization:
_______________________________________________________________________
3. Business Name: __________________________________________________________
4. Business Address: ________________________________________________________
__________________________Zip Code ____________ County ___________________
5. (a) Business Telephone : (____) _____________________________________________
(b) Business Fax: (____)____________________________________________________
( c) Business e-mail: ______________________________________________________
6. State Bar I.D. Number: ____________________________________________________
(Specify state if other than Texas)
7. Residence Address: _______________________________________________________
__________________________Zip Code ____________County ___________________
8. Residence Telephone: (____) _______________________________________________
9. Social Security Number: 1 __________________________________________________
10. List states, federal possessions and territories in which you have been admitted to practice
law by the highest court. Indicate the year admitted, status and areas of certified
specialization.
State Year Admitted Current Standing Specialization
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1
Attorneys are requested to provide their Social Security Number in order to assist the
court in maintaining the integrity of its records.
11. List federal courts to which you have been admitted. Indicate the year admitted and current
status.
Court Year Admitted Current Standing
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
12. List your law school, the date of graduation, and the degree received. If you did not graduate
from a law school, please describe your law study in detail.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
13. List three felony jury trials wherein you served as first or second chair OR why you believe
you are otherwise qualified.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
14. Indicate any grievances or involuntary removals filed against you as a lawyer. Describe the
circumstances in detail.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
15. Describe in detail charges, arrests, or convictions for criminal offenses(s). Omit minor
traffic offenses.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
ANSWER THE FOLLOWING QUESTIONS “YES” OR “NO” IN THE BLANK PROVIDED;
IF “YES”, EXPLAIN FULLY ON A SEPARATE SHEET.
16. (a) Have you ever been denied admission to the bar of any State (including the District
of Columbia) or any other federal court? _______
(b) Have you ever been disbarred, suspended from practice, reprimanded, censured or
otherwise disciplined or disqualified as an attorney? _______
( c) Has any adverse action, formal or informal, been taken against you or your license
to practice law by any grievance committee, court, or other disciplinary body or
committee? _______
17. Have you ever held a bonded position in connection with which anyone has sought to
recover on your bond, or made a claim for any alleged default? _______
18. In connection with questions 18(a) through ©) , the detailed explanation of any affirmative
answers shall include dates, exact name and address of the court, if any, the case number,
and disposition.
(a) Have you ever been charged with any violation of any law, other than minor traffic
violations? _______
(b) Have you ever been charged with fraud, formally or otherwise, in any civil, criminal,
bankruptcy, or administrative case or proceeding? _______
( c) Have you ever been denied a discharge in bankruptcy, or had your discharge in
bankruptcy revoked? _______
19. Are there any unsatisfied judgments against you, whether barred by limitation or not?
_______
(If so, give names and addresses of creditors, amounts, dates and nature of judgments, courts,
and reasons for non-payment.)
20. Please provide the date of completion of the Federal Court Practice Seminar, as required by
Local Rule AT-1(b)(2):
Date Completed:___________________ Course # ____________________________
21. If approved, in which District/Division do you prefer to take the Oath?
______________________ District __________________________Division
I swear that the information provided in the foregoing application including attachments, if any, is
true and correct. I acknowledge that by accepting admission to this Court I am subjecting myself
to the discipline of this Court. I further certify that I have read and am familiar with the Federal
Rules of Civil Procedure and Local Rules of this court and alternative dispute resolution procedures
of the Western District of Texas and will advise clients in any actions pending in this court regarding
alternative dispute resolution procedures. I further certify, if requested, I am willing to appear
before this court or any Committee appointed to test the qualifications of applicants for admission
to practice before this Court.
I declare under penalty of perjury that the foregoing is true.
________________________ __________________________________________
Date Signature
SUBSCRIBED AND SWORN TO BEFORE ME this ____ day of ________________, 20___,
at ____________________________________________________________.
(SEAL) __________________________________________
Notary Public or Deputy Clerk of this Court
