Public Defense Roster Form This form allows an attorney to apply to the PDC's Public Defense Roster Attorney's Name* Idaho State Bar (ISB) #* Firm/Institutional Office* Office Telephone* Office Email* Are you in good standing with the Idaho State Bar?* Yes No Have you been newly admitted to the Idaho State Bar within the last 12 months?* Yes No If yes, who is your mentor?(please contact us if you do not have a mentor)Are you employed by or contracted with a County(ies) to provide indigent defense?* Yes - please list County(ies) below. No, I am not currently employed or under contract to provide indigent defense List the County(ies)*Contract UploadIf you have a contract(s) please attach here. Contracts may only be uploaded in PDF format. If the file is larger than 5 megabytes, please reach out to the PDC Office.Accepted file types: pdf.Have you completed 7 PDC approved CLE credits within the previous year?*Preapproved list is on our website. Yes, and I shall continue to be so. No, but I will do so within 90 days of being placed on the roster and will submit the CLE Verification Form when completed. CLE UploadPlease attach CLEs here. You may only uploaded in PDF format. If the file is larger than 5 megabytes, please reach out to the PDC Office.Have you reviewed and are you compliant with all Public Defense Commission Rules?* Yes, and I shall continue to be so. No (if no, please contact us). Do you want a membership in the National Association of Public Defenders (NAPD) provided by the PDC? (includes access to free CLEs)*YesNoCAPTCHA Signature*Please review the foregoing carefully and make sure you attach contracts and/or CLE Verification Form if applicable. Sign your name by typing it in the space below. By signing and submitting this form, you attest that the forgoing is accurate and true, and authorize the PDC to verify any information contained herein and attached hereto:NameThis field is for validation purposes and should be left unchanged.