ATTORNEY MEMBER PROFILE

Personal Information
1. Name
2. Jurisdiction(s) licensed in. List all.
3. Bar Number(s). List all.
4. Number of years in practice

5. What is your current field of practice?

Appellate-Civil	In-House Counsel	Private Criminal Defense
Appellate-Criminal	Legal Aid	Prosecution
Employment	Litigation	Public Defense
General Civil	Non-Profit Agency	Transactional
Housing	Other Government	Other-Please Specify

6. Have you ever represented a victim, either at the trial or appellate level?

In a civil case?	Yes No
In a criminal case?	Yes No

7. Would you be willing to provide pro bono representation to a crime victim in a criminal case?

Yes No

NOTE: Answering “yes” to this question will NOT result in the release of your name or contact information to a victim without your specific prior consent.

8. If YES to the question above, please identify what services you may be able to provide. Check all that apply.

Trial representation on discrete issue	Full appellate representation
Full trial representation	Appellate research only
Trial research only	Other-Please Specify

9. Would you be willing to serve as local counsel to NCVLI when it participates as amicus curiae in case involving crime victims’ rights issues?

Yes No

10. If you answered “No” to #7 or #9, please provide any reasons for your declining. This information will greatly assist NCVLI as it determines how to better serve you as you serve crime victims.

11. Please identify any training topics or materials NAVRA could provide to best assist you with your effort to protect, enforce, or advance crime victims' rights.

This project was supported by Grant No. 2002-VF-GX-K004 awarded by the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice.