UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF TEXAS

 §

 Plaintiff §

§

§

 v. § Case No. 

§

§

 §

 Defendant §

APPLICATION FOR ADMISSION PRO HAC VICE

(Complete all questions; indicate “N/A” if necessary.)

I. Applicant is an attorney and a member of the law firm of (or practices under the name of)

 , with offices at

 

(Street Address)

 

(City) (State) (Zip Code)

 

(Telephone No.) (Fax No.)

 

II. Applicant will sign all filings with the name .

III. Applicant has been retained personally or as a member of the above-named firm by:

(List All Parties Represented)

to provide legal representation in connection with the above-styled matter now pending before the United

States District Court for the Northern District of Texas.

Jackson et al. Mayorkas et. al. 4:22-cv-00825 Thomas More Society 112 South Hanley Road, Second Floor Clayton Missouri 63105 314-825-5725 Mary Catherine Hodes

Plaintiffs

Case 4:22-cv-00825-P Document 12 Filed 09/20/22 Page 1 of 3 PageID 753
IV. Applicant is a member in good standing of the bar of the highest court of the state of

 , where Applicant regularly practices law. 

Bar license number:_______________ Admission date:____________________________

Attach to this application an original certificate of good standing issued within the past 90 days from the

attorney licensing authority in a state in which you are admitted to practice (e.g., State Bar of Texas).

V. Applicant has also been admitted to practice before the following courts:

Court: Admission Date: Active or Inactive:

 

 

 

 

VI. Applicant has never involuntarily lost, temporarily or permanently, the right to practice before

any court or tribunal, or resigned in lieu of discipline, except as provided below:

VII. Applicant has never been subject to grievance proceedings or involuntary removal proceedings—

regardless of outcome—while a member of the bar of any state or federal court or tribunal that requires

admission to practice, except as provided below:

VIII. Applicant has not been charged, arrested, or convicted of a criminal offense or offenses, except

as provided below (omit minor traffic offenses):

For Court Use Only.

Bar StatusVerified:

Missouri

_______________

56386 09/29/2004 Illinois 2005 Inactive Eastern District of Missouri 2022 Active Second Circuit Court of Appeals 2021 Active

N/A

N/A

N/A

Case 4:22-cv-00825-P Document 12 Filed 09/20/22 Page 2 of 3 PageID 754
IX. Applicant has filed for pro hac vice admission in the United States District Court for the

Northern District of Texas during the past three (3) years in the following matters:

Date of Application: Case No. And Style:

(If necessary, attach statement of additional applications.)

X. Local counsel of record associated with Applicant in this matter is

 , who has offices at

(Street Address) 

(City) (State) (Zip Code)

(Telephone No.) (Facsimile No.)

XI. Check the appropriate box below.

For Application in a Civil Case

Applicant has read Dondi Properties Corp. v. Commerce Savs. & Loan Ass’n, 121

F.R.D.284 (N.D. Tex. 1988) (en banc), and the local civil rules of this court and will

comply with the standards of practice adopted in Dondi and with the local civil rules.

For Application in a Criminal Case

Applicant has read and will comply with the local criminal rules of this court.

XII. Applicant respectfully requests to be admitted to practice in the United States District Court for

the Northern District of Texas for this cause only. Applicant certifies that a true and correct copy of this

document has been served upon each attorney of record and the original upon the clerk of court,

accompanied by a $100 filing fee, on this the day of , .

Printed Name of Applicant

Signature

If the applicant files this document through the applicant’s electronic-filing account, the applicant’s typed name on the signature block constitutes the 

applicant’s signature. If the applicant does not file this document through the applicant’s electronic-filing account, the applicant must sign on the 

signature line. 

N/A Charles W. Fillmore & H. Dustin Fillmore III of The Fillmore Law Firm, L.L.P. 201 Main Street, Suite 700 Fort Worth TX 76102 (817)332-2351 (817)870-1859 ✔

20th September 2022 Mary Catherine Hodes

Case 4:22-cv-00825-P Document 12 Filed 09/20/22 Page 3 of 3 PageID 755