Last Name:
First Name:
Organization:
Office Street Address:
City:
State:
Zip:
Office Telephone:
Fax Number:
Email address:
State Bar Number:
Monday and Tuesday box lunch: I prefer
Vegetarian
Non-vegetarian
I am
am not
actively taking SPD appointments.
Experience Level
The following information is necessary in order to place participants in small groups. Please complete this
section to the best of your ability.
# of years in criminal defense practice:
Have you participated in the Wisconsin SPD’s Trial Skills Academy in the past?
Yes (include date)
No
Date of last jury trial:
Number of felony jury trials:
Number of misdemeanor jury trials:
Number of bench trials:
Number of other jury trials:
Tuition: $399 Public defenders and private attorneys actively taking public defender appointments
$599 All other criminal defense attorneys
Total amount enclosed: $
Please mail completed registration form and tuition in the form of a check made payable to “State Public Defender” to:
Brandon Robinson
Office of the State Public Defender
315 N. Henry St., 2nd Floor
Madison, WI 53703
Email: Brandon
Telephone: 608.261.0622
Registration deadline: April 13, 2012
|