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#17-005430-0003
Supplemental Questionnaire

Last Name
First Name

 

Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.


1.

Please identify any other positions with the Office of the Public Defender which you have applied for or maintained in the past (including applications currently pending).

2.

Are you a member of the Maryland Bar?

Yes
No
I recently sat for the Bar Examination, and I am waiting for the results.
Although I passed the Bar Examination, I have not been sworn in yet.
3.

If yes, please identify the date of admission or expected admission.

4.

Besides Maryland, are you a member of the Bar of any other jurisdiction?

Yes
No
I recently sat for the Bar Examination of another jurisdiction and am awaiting the results
Although I passed the Bar Examination, I have yet to be sworn in
5.

Please identify which jurisdictions and the dates of admission or expected admission.

6.

Have you ever been the subject of a Bar complaint, investigation, or disciplinary action? If yes, please append to your application materials, an explanation of the circumstances.

Yes No

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