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#17-005357-0001
Supplemental Questionnaire

Last Name
First Name
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 I am waiting for the results.
Although I passed the Bar Examination, I have not been sworn in yet.
5

Please identify which jurisdictions and the date 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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