First Name

Last Name

Email

Law Firm

Bar Number/ID

Date of Bar Admission

What state(s)/federal districts are you currently licensed and in good standing to practice law? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming U.S. Virgin Islands

Have you previously handled any of the following: Criminal Defense Post-Conviction Litigation Clemency or Pardon Petitions Appellate Litigation No Prior Experience

Please list any relevant experience with post-conviction matters (e.g. state or federal clemency, compassionate release, resentencing, expungement/record sealing, supervised release or parole representation, pardon)

Languages spoken:

Do you or your firm currently carry malpractice insurance? Yes No

Do you have prior cannabis policy reform experience? Yes No

Have disciplinary charges ever been filed against you by any bar or attorney licensing authority at any time? Yes No

Have you ever been sanctioned by a court for misconduct, discovery violations, or other litigation-related conduct at any time? Yes No

Have you ever had a legal malpractice judgment entered against you or settled a malpractice claim at any time? Yes No

Does your firm require approval or a conflicts check before accepting a pro bono matter? Yes No

If you are a solo-practitioner, please provide one professional reference familiar with your legal work:

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