Respondent Parent Counsel Application

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Information for Applicants   This is an application for a contract with the Office of Respondent Parents’ Counsel beginning July 1, 2017.  This application does not pertain to providing services as Guardian ad litem or representation for special respondents in D&N cases. Upon submission of this form, you will receive a confirmation and summary of the form via e-mail for your records. Required Attachments: You will be required to upload electronic documents as part of this form. ORPC recommends that you prepare and save or scan these documents to your computer in advance and in PDF format. The required attachments include a resume and a redacted legal writing sample. You will be required to upload these documents when prompted—you may not e-mail or mail documents separately.    Save Progress and Submit: Save your progress at any time by clicking "Save Partial Work" on the bottom of each page. Each time you advance to the next page, your work is automatically saved. To resume partially-completed work, click the link to the application to log in again. After logging in, click “Open Saved Form” to resume working. Be sure to advance to the last page of the form and click "Submit" before March 31, 2017 at 5pm.     Applicants can only sumbit one application and cannot make changes to an application once submitted.   *Fields marked with an asterisk are required.    

I. Contact Information

First Name *
 
Middle Name or Initial
 
Last Name *
 
Colorado Atty. Reg. Number *
 
Firm / Agency
 
Business Email Address *
 
BUSINESS MAILING ADDRESS This address will be published to the courts.
Address Line 1 *
 
(Street address, P.O. box)
Address Line 2 (Optional)
 
(Suite Number, Unit, Floor, etc.)
City *
 
State *
 
Zip Code *
 
Is your business mailing address the same as your business physical address? *
 Yes
 No
BUSINESS PHYSICAL ADDRESS
Address Line 1 *
 
(Street address)
Address Line 2 (Optional)
 
(Suite Number, Unit, Floor, etc.)
City *
 
State *
 
Zip Code *
 
Is your business mailing address the same as your billing payment address? *
 Yes
 No
BILLING PAYMENT ADDRESS
Address Line 1 *
 
(Street address, P.O. Box)
Address Line 2 (Optional)
 
(Suite Number, Unit, Floor, etc.)
City *
 
State *
 
Zip Code *
 
Do you need to provide another address? *
 Yes
 No
Please describe the address type: *
 
Address Line 1 *
 
(Street address, P.O. Box)
Address Line 2 (Optional)
 
(Suite Number, Unit, Floor, etc.)
City *
 
State *
 
Zip Code *
 
PHONE NUMBERS
Business Phone xxx-xxx-xxxx *
 
Mobile Phone xxx-xxx-xxxx
 
WEBSITE
Business website
 

II. Contract Status and Interest

CURRENT STATUS
1. Are you on an ORPC appointment list for trial cases as of July 1, 2016 or after? *
 Yes
 No
2. Are you on the ORPC appellate appointment list as of July 1, 2016 or after? *
 Yes
 No
3. Are you applying to be an associate under a senior attorney's RPC contract? *
 Yes
 No
Name of senior attorney *
 
4. Are you currently representing respondent parents? *
 Yes
 No
How many open state appointed respondent parent cases do you have? *
 
How many open private respondent parent cases do you have? *
 
Approximately what percentage of your practice is devoted to RPC representation? *
 
5. Have you previously represented parents in either private pay or court appointed dependency cases? *
 No
 Yes, please tell us about the number of cases, location(s), and length of time spent representing parents:
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INTEREST
1. Are you applying for an ORPC trial contract? *
 Yes
 No
2. Are you applying for an ORPC overflow contract? (An overflow only contract is for lawyers who do not want to be on a regular schedule to pick-up new cases, but want to be available to pick-up a new case when all other lawyers on the appointment list are conflicted off a case or otherwise unavailable to accept an RPC appointment.) *
 Yes
 No
3. Are you applying for an ORPC appellate attorney contract? *
 Yes
 No
4. Are you interested in mentoring other RPC attorneys? *
 Yes
 No
5. Are you interested in hiring a new associate attorney? *
 Yes
 No
________________________________________________________________________
The ORPC is often contacted by respondent parents who do not qualify for court appointed counsel, but are struggling to find a lawyer they can afford.  6. Are you interested in being on a slow pay or low pay list that we can provide to these parents when they call?  *
 Yes
 No
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D&N APPEALS
Please upload a redacted legal writing sample, preferably a brief, if interested in appellate representation. Use PDF format with max file size 5MB. Click "Choose File," Browse and Select the file, Click "Open,"Click "Upload."
Upload Writing Sample *
 
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III. Placement

Please indicate all judicial districts and counties in which you are applying to serve as court-appointed Respondent Parents’ Counsel and indicate whether you currently are on an appointment list in that jurisdiction.Note: If you have a contract in a district and you wish to continue working in that district, check both boxes in that row.Map for Your Reference (opens in a new window): https://www.courts.state.co.us/Courts/Map.cfmJUDICIAL DISTRICTS
 I'm Applying for a New ContractI am currently on the RPC appointment list
1st Judicial District
 
 
2nd Judicial District
 
 
3rd Judicial District
 
 
4th Judicial District
 
 
5th Judicial District
 
 
6th Judicial District
 
 
7th Judicial District
 
 
8th Judicial District
 
 
9th Judicial District
 
 
10th Judicial District
 
 
11th Judicial District
 
 
12th Judicial District
 
 
13th Judicial District
 
 
14th Judicial District
 
 
15th Judicial District
 
 
16th Judicial District
 
 
17th Judicial District
 
 
18th Judicial District
 
 
19th Judicial District
 
 
20th Judicial District
 
 
21st Judicial District
 
 
22nd Judicial District
 
 
COUNTIES
Counties in which you are available for RPC appointment (Counties listed alphabetically, Select all that apply). *
 Adams - 17th
 Alamosa - 12th
 Arapahoe - 18th
 Archuleta - 6th
 Baca - 15th
 Bent - 16th
 Boulder - 20th
 Broomfield - 17th
 Chaffee - 11th
 Cheyenne - 15th
 Clear Creek - 5th
 Conejos - 12th
 Costilla - 12th
 Crowley - 16th
 Custer - 11th
 Delta - 7th
 Denver - 2nd
 Dolores - 22nd
 Douglas - 18th
 Eagle - 5th
 El Paso - 4th
 Elbert - 18th
 Fremont - 11th
 Garfield - 9th
 Gilpin - 1st
 Grand - 14th
 Gunnison - 7th
 Hinsdale - 7th
 Huerfano - 3rd
 Jackson - 8th
 Jefferson - 1st
 Kiowa - 15th
 Kit Carson - 13th
 La Plata - 6th
 Lake - 5th
 Larimer - 8th
 Las Animas - 3rd
 Lincoln - 18th
 Logan - 13th
 Mesa - 21st
 Mineral - 12th
 Moffat - 14th
 Montezuma - 22nd
 Montrose - 7th
 Morgan - 13th
 Otero - 16th
 Ouray - 7th
 Park - 11th
 Phillips - 13th
 Pitkin - 9th
 Prowers - 15th
 Pueblo - 10th
 Rio Blanco - 9th
 Rio Grande - 12th
 Routt - 14th
 Saguache - 12th
 San Juan - 6th
 San Miguel - 7th
 Sedgwick - 13th
 Summit - 5th
 Teller - 4th
 Washington - 13th
 Weld - 19th
 Yuma - 13th
Please provide any additional information about your district and county preferences that you would like ORPC to consider.
 
Are you interested in picking up overflow/conflict appointments? *
 No
 Yes, Please list counties:

IV. Qualifications

EXPERIENCE
Please upload your resume indicating your legal and other relevant experience. Use PDF format with a max file size of 5MB. Click "Choose File," Browse and Select the file, Click "Open,"Click "Upload."
Upload Resume *
 
Please upload a redacted legal writing sample, preferably one substantive motion from a D&N case. Use PDF format with a max file size of 5MB. Click "Choose File," Browse and Select the file, Click "Open,"Click "Upload."
Upload Writing Sample *
 
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REFERENCES
Please provide the names and contact information of two (2) professional references the ORPC may contact in regards to this application.
Reference 1
Name *
 
Relationship *
 
Email Address *
 
Phone number
 
Reference 2
Name *
 
Relationship *
 
Email Address *
 
Phone number
 
________________________________________________________________________
Please indicate any other state-paid contracts you have currently. (Select all that apply.)
 Office of the Alternate Defense Counsel
 Office of the Child's Representative
 Other (please specify)
________________________________________________________________________
Please select any language(s) other than English in which you are proficient. (Select all that apply or "None.") *
 ASL
 Arabic
 Bengali
 French
 German
 Hindi
 Italian
 Japanese
 Mandarin
 Portuguese
 Russian
 Spanish
 Other
 None
Other: Please specify the language(s) not listed above. *
 
 
 
________________________________________________________________________
CLEs & RESOURCES
1. Are you in compliance with your ORPC contract's CLE requirement? (12 CLE for trial attorneys and 6 CLE for appellate-only attorneys) *
 Yes
 N/A (only for new applicants)
 No, please explain:
2. Did you attend the ORPC Conference, Sept 11-12, 2017? *
 Yes
 No
3. Did you attend any other ORPC trainings in the last contract year? *
 No
 Yes, please list:
4. Did you attend any child welfare related trainings in the last contract year? *
 No
 Yes, please describe:
5. Did you sign up for ORPC Westlaw access? *
 Yes
 N/A or No. What legal research tool do you use?
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ESSAYS
1. Why do you want to represent parents? (2,000 characters max) *
 
 
 
 
 
 
 
2. Why do you want to represent indigent people? (2,000 characters max) *
 
 
 
 
 
 
 
3. What is your philosophy regarding collaboration in dependency cases? (2,000 characters max) *
 
 
 
 
 
 
 
4. Please describe a trial skill you feel competent in and identify a trial skill you would like to improve. (2,000 characters max) *
 
 
 
 
 
 
 
5. Please describe what you believe is important to convey to a client in weighing the decision to go to trial. (2,000 characters max) *
 
 
 
 
 
 
 
Please describe any special skills or knowledge which would benefit parents in your representation. (2,000 characters max)
 
 
 
 
 
 
 
APPELLATE ESSAYS
1. What issue would you like to see trial counsel preserve for appeal? Why? (2,000 characters max) *
 
 
 
 
 
 
 
2. Describe one of your strengths as an appellate attorney and describe an appellate skill that you would like to improve. (2,000 characters max) *
 
 
 
 
 
 
 
3. What is your philosophy regarding appellate advocacy? (2,000 characters max) *
 
 
 
 
 
 
 
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DISCIPLINARY HISTORY
1. Were you ever sued for malpractice?  *
 Yes
 No
Please describe the circumstances including the time period during which the suit occured. (2,000 characters max) *
 
 
 
2. Were you ever disciplined, or is a disciplinary action pending, by the Office of Attorney Regulation Counsel or a similar entity? *
 Yes
 No
Please describe the circumstances including the discipline you received and the time period during which the discipline occurred. (2,000 characters max) *
 
 
 
3. Has a state agency, such as ADC or OCR, ever terminated or not renewed your contract? *
 Yes
 No
Please describe the circumstances surrounding the termination or non-renewal of your contract. (2,000 characters max) *
 
 
 

IV. Associates

ASSOCIATES
List all associates and provide their email address(es): this includes attorney associates who will be available to you to support the adequate representation of any and all clients that may be assigned under the terms of the ORPC contract.   Associates who represent parents in any capacity must submit an individual application to the ORPC.
Number of Associates *
 
1. Name *
 
1. Email Address *
 
2. Name *
 
2. Email Address *
 
3. Name *
 
3. Email Address *
 
4. Name *
 
4. Email Address *
 
5. Name *
 
5. Email Address *
 
6. Name *
 
6. Email Address *
 
Describe how you use associates and the counties where each associate works. *
 
Describe how you handle billing for associates.  (2,000 characters max) *
 
 
 

V. Staff

SUPPORT STAFF
List all staff and provide their email address(es): paralegals, billing staff, administrative staff, and social workers, who will be available to you to support the adequate representation of any and all clients that may be assigned under the terms of the ORPC contract.
Number of Staff *
 
1. Name *
 
1. Role *
 
1. Email Address *
 
2. Name *
 
2. Role *
 
2. Email Address *
 
3. Name *
 
3. Role *
 
3. Email Address *
 
4. Name *
 
4. Role *
 
4. Email Address *
 
5. Name *
 
5. Role *
 
5. Email Address *
 
6. Name *
 
6. Role *
 
6. Email Address *
 

VI. Self-Certification / Submit Application

State of Colorado Employment History *
 YesNo
I am a current employee of the State of Colorado.
 
 
I am a retiree of the Public Employees Retirement Association (PERA).
 
 
I am a current employee of a PERA-affiliated employer (other than the State of Colorado).
 
 
I understand that by submitting this application I hereby make the following certification of competency: *
 I believe that I am capable of handling any dependency and neglect case to which I am appointed, including all contested matters.
 I understand that I will be required to use the Respondent Parent Payment System for billing.
 I currently maintain a policy of professional liability insurance and will maintain such insurance throughout the term of the Contract including any period of continuing duties after expiration of the Contract appointment period.
 I read and understand ORPC's Billing Policies and Procedures.
 I read and understand Chief Justice Directive 16-02.
Note: Chief Justice Directive 16-02 available at https://www.courts.state.co.us/Courts/Supreme_Court/Directives/16-02%20Amended%20July%202016%20Attach%20A%20&%20Attach%20B(Amended%202017)WEB.pdf   ORPC Billing Policies available at https://www.coloradoorpc.org/wp-content/uploads/2015/02/ORPC-BILLING-POLICIES-Rev.-9.29.16.pdf 
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You have reached the end of this form. Do not exit your web browser without saving or submitting this form or you will lose your work. You must click "Submit" (below) to complete your form. Once you click "Submit," your form will be sent to ORPC and you will not be able to make further edits. Do not close your browser window while your form is being submitted. You will receive a confirmation and a summary of your form at the e-mail address you provided at the beginning of the application.