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FrameBuilder.get=qsProxy||[];var i41389227166157=new FrameBuilder("41389227166157",false,"","<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html class=\"supernova\"><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<link rel=\"alternate\" type=\"application\/json+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=json&amp;url=https%3A%2F%2Fform.jotform.com%2F41389227166157\" title=\"oEmbed Form\">\n<link rel=\"alternate\" type=\"text\/xml+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=xml&amp;url=https%3A%2F%2Fform.jotform.com%2F41389227166157\" title=\"oEmbed Form\">\n<meta property=\"og:title\" content=\"DC-Application for Court Appointments\" >\n<meta property=\"og:url\" content=\"https:\/\/form.jotform.us\/41389227166157\" >\n<meta property=\"og:description\" content=\"Please click the link to complete this form.\" >\n<meta name=\"slack-app-id\" content=\"AHNMASS8M\">\n<meta data-name=\"preventCloning\" content=\"1\">\n<link rel=\"shortcut icon\" href=\"https:\/\/cdn.jotfor.ms\/favicon.ico\">\n<link rel=\"canonical\" href=\"https:\/\/form.jotform.us\/41389227166157\" \/>\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0, maximum-scale=2.0, user-scalable=1\" \/>\n<meta name=\"HandheldFriendly\" content=\"true\" \/>\n<title>DC-Application for Court Appointments<\/title>\n<link href=\"https:\/\/cdn.jotfor.ms\/static\/formCss.css?3.3.23918\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/nova.css?3.3.23918\" \/>\n<link type=\"text\/css\" media=\"print\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/printForm.css?3.3.23918\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/566a91c2977cdfcd478b4567.css?\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" 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id=\"id_31\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_31\" for=\"input_31_addr_line1\">\n          Address:\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_31\" class=\"form-input jf-required\">\n          <div summary=\"\" class=\"form-address-table jsTest-addressField\">\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\">\n              <span class=\"form-address-line form-address-street-line jsTest-address-lineField\">\n                <span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n                  <input type=\"text\" id=\"input_31_addr_line1\" name=\"q31_address[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" value=\"\" data-component=\"address_line_1\" aria-labelledby=\"label_31 sublabel_31_addr_line1\" \/>\n                  <label class=\"form-sub-label\" for=\"input_31_addr_line1\" id=\"sublabel_31_addr_line1\" style=\"min-height:13px\" aria-hidden=\"false\"> Street Address <\/label>\n                <\/span>\n              <\/span>\n            <\/div>\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\">\n              <span class=\"form-address-line form-address-street-line jsTest-address-lineField\">\n                <span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n                  <input type=\"text\" id=\"input_31_addr_line2\" name=\"q31_address[addr_line2]\" class=\"form-textbox form-address-line\" value=\"\" data-component=\"address_line_2\" aria-labelledby=\"label_31 sublabel_31_addr_line2\" \/>\n                  <label class=\"form-sub-label\" for=\"input_31_addr_line2\" id=\"sublabel_31_addr_line2\" style=\"min-height:13px\" aria-hidden=\"false\"> Mailing Address (if different) <\/label>\n                <\/span>\n              <\/span>\n            <\/div>\n            <div 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validate[required] form-address-state\" value=\"\" data-component=\"state\" aria-labelledby=\"label_31 sublabel_31_state\" \/>\n                  <label class=\"form-sub-label\" for=\"input_31_state\" id=\"sublabel_31_state\" style=\"min-height:13px\" aria-hidden=\"false\"> State \/ Province <\/label>\n                <\/span>\n              <\/span>\n            <\/div>\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\">\n              <span class=\"form-address-line form-address-zip-line jsTest-address-lineField \">\n                <span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n                  <input type=\"text\" id=\"input_31_postal\" name=\"q31_address[postal]\" class=\"form-textbox form-address-postal\" value=\"\" data-component=\"zip\" aria-labelledby=\"label_31 sublabel_31_postal\" \/>\n                  <label class=\"form-sub-label\" for=\"input_31_postal\" id=\"sublabel_31_postal\" style=\"min-height:13px\" 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class=\"form-line\" data-type=\"control_fileupload\" id=\"id_35\">\n        <label class=\"form-label form-label-top\" id=\"label_35\" for=\"input_35\"> If a new attorney, please attach CLE hours: <\/label>\n        <div id=\"cid_35\" class=\"form-input-wide\">\n          <input type=\"file\" id=\"input_35\" name=\"q35_ifA35\" class=\"form-upload\" data-file-accept=\"pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" data-file-maxsize=\"1024\" data-file-minsize=\"0\" data-file-limit=\"0\" data-component=\"fileupload\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_5\">\n        <label class=\"form-label form-label-top\" id=\"label_5\" for=\"input_5\"> I hereby request to be placed on the Public Appointment List for the following category(ies). 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class=\"form-sub-label\" for=\"first_43\" id=\"sublabel_43_first\" style=\"min-height:13px\" aria-hidden=\"false\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\">\n              <input type=\"text\" id=\"last_43\" name=\"q43_nameOf43[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" aria-labelledby=\"label_43 sublabel_43_last\" \/>\n              <label class=\"form-sub-label\" for=\"last_43\" id=\"sublabel_43_last\" style=\"min-height:13px\" aria-hidden=\"false\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_checkbox\" id=\"id_44\">\n        <label class=\"form-label form-label-top\" id=\"label_44\" for=\"input_44\">\n          Counties in which you would like to receive appointments:\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_44\" class=\"form-input-wide jf-required\">\n          <div class=\"form-multiple-column\" data-columncount=\"3\" role=\"group\" aria-labelledby=\"label_44\" data-component=\"checkbox\">\n            <span class=\"form-checkbox-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_44_0\" name=\"q44_countiesIn44[]\" value=\"Atascosa\" required=\"\" \/>\n              <label id=\"label_input_44_0\" for=\"input_44_0\"> Atascosa <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_44_1\" name=\"q44_countiesIn44[]\" value=\"Frio\" required=\"\" \/>\n              <label id=\"label_input_44_1\" for=\"input_44_1\"> Frio <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_44_2\" name=\"q44_countiesIn44[]\" value=\"Karnes\" required=\"\" \/>\n              <label id=\"label_input_44_2\" for=\"input_44_2\"> Karnes <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\" style=\"clear:left\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_44_3\" name=\"q44_countiesIn44[]\" value=\"LaSalle\" required=\"\" \/>\n              <label id=\"label_input_44_3\" for=\"input_44_3\"> LaSalle <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_44_4\" name=\"q44_countiesIn44[]\" value=\"Wilson\" required=\"\" \/>\n              <label id=\"label_input_44_4\" for=\"input_44_4\"> Wilson <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_45\">\n        <div id=\"cid_45\" class=\"form-input-wide\">\n          <div id=\"text_45\" class=\"form-html\" data-component=\"text\">\n            <p><span style=\"font-family:arial, helvetica, sans-serif;font-size:small;\">I meet the requirements to be placed on the appointment list. I have read and understand the requirements for appointments in this jurisdiction.<\/span><\/p>\n            <p><span style=\"font-family:arial, helvetica, sans-serif;font-size:small;\">I understand that the law requires that I make every reasonalble effort to contact the defendant not later than the end of the first working day after the date on which I am appointed and interview the defendant as soon as practicable after I am appointed. I will represent the defendant until charges are dismissed, the defendant is acquitted, appeals are exhausted, or until I am relieved of my duties by the Court or replaced by other counsel.<\/span><\/p>\n            <p><span style=\"font-family:arial, helvetica, sans-serif;font-size:small;\">I also understand that as an officer of the Court I will be held responsible by the Courts for the truthfulness of the information provided in this form.<\/span><\/p>\n            <p><span style=\"font-family:arial, helvetica, sans-serif;font-size:small;\">By submitting this form, I certify that all information is accurate.<\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_28\">\n        <div id=\"cid_28\" class=\"form-input-wide\">\n          <div style=\"text-align:center\" data-align=\"center\" class=\"form-buttons-wrapper form-buttons-center   jsTest-button-wrapperField\">\n            <button id=\"input_28\" type=\"submit\" class=\"form-submit-button form-submit-button-carbon_rounded submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">\n              Submit Form\n            <\/button>\n            <span>\n              \u00a0\n            <\/span>\n            <button id=\"input_reset_28\" type=\"reset\" class=\"form-submit-reset form-submit-button-carbon_rounded jf-form-buttons\" data-component=\"button\">\n              Clear Form\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <script>\n  JotForm.showJotFormPowered = \"0\";\n  <\/script>\n  <script>\n  JotForm.poweredByText = \"Powered by JotForm\";\n  <\/script>\n  <input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"41389227166157\" \/>\n  <script type=\"text\/javascript\">\n  var all_spc = document.querySelectorAll(\"form[id='41389227166157'] .si\" + \"mple\" + \"_spc\");\nfor (var i = 0; i < all_spc.length; i++)\n{\n  all_spc[i].value = \"41389227166157-41389227166157\";\n}\n  <\/script>\n<\/form><\/body>\n<\/html>\n","DC-Application for Court Appointments",Array);(function(){window.handleIFrameMessage=function(e){if(!e.data||!e.data.split)return;var args=e.data.split(":");if(args[2]!="41389227166157"){return;}
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