House Counsel Application- For Attorneys Only

Please check one:


Applicant Information
NATURE OF YOUR PRACTICE
ARE YOU FLUENT IN A SECOND LANGUAGE?

ARE YOU CERTIFIED IN AMERICAN SIGN LANGUAGE?

New Applicant - If not CAP certified, do you have (18) Hours of Continuing Legal Education Credits?

ARE YOU WAYNE COUNTY CRIMINAL ADVOCACY PROGRAM (CAP) CERTIFIED?

Renewing Applicant - If not CAP certified, do you have (12) Hours of Continuing Legal Education Credits?

HAVE YOU EVER HAD A REQUEST FOR INVESTIGATION FILED AGAINST YOU WITH THE STATE ATTORNEY GRIEVANCE COMMISSION AND/OR HAVE YOU EVER BEEN DISCIPLINED BY THE ATTORNEY DISCIPLINE BOARD IN MICHIGAN OR ANY OTHER STATE? IF YES, PLEASE PROVIDE A DETAILED STATEMENT OF FACTS INCLUDING FINAL RESOLUTION WITH YOUR APPLICATION.

PREVIOUS POSITIONS WITHIN THE JUSTICE SYSTEM
LIST ANY POSITIONS HELD WITHIN THE JUSTICE SYSTEM. LIST CITY, COUNTY OR FEDERAL ENTITY AND YEAR(S).
DEFENSE ATTORNEY
LADA
MISD. DEFENDERS
COUNTY APA
CITY ATTORNEY
ATTORNEY GENERAL
CITY/COUNTY LAW DEPT
JUDICIAL CLERKSHIP
OTHER
SELECT FILES TO UPLOAD:
I HEREBY CERTIFY THAT THE INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. I UNDERSTAND THAT FALSE INFORMATION WILL RESULT IN MY REMOVAL OR INELIGIBILITY TO RECEIVE ASSIGNMENTS.