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Application for Fixed-Term Agreement

Application for Fixed-Term Agreement

(If completing manually instead of electronically, please print clearly)

Part I: Application in response to the following Notice of Opportunity:

Notice Reference No.

_____________________________________________

Judicial District(s)

_____________________________________________

The Applicant is

an Individual

a Law Firm

Applicant’s (Firm) Name:

_____________________________________________

Address:

_____________________________________________
_____________________________________________
_____________________________________________

Phone No.:

_____________________________________________

Fax No.

_____________________________________________

Email:

_____________________________________________

Contact

The following individual (lawyer) has been designated to act on behalf of the applicant on all matters pertaining to this process:

Name and Title:

_____________________________________________

Phone No.:

_____________________________________________

Fax No.

_____________________________________________

Email:

_____________________________________________

Legal Status (Association, Incorporation, Limited Liability Partnership, etc.) as registered with the Canada Revenue Agency (CRA):

_________________________________________________________________________

Please provide the HST/GST Registration Number issued by the CRA:

_________________________________________________________________________

Please indicate the exact name registered with the CRA for which the above number was issued:

_________________________________________________________________________

The following documentation was obtained for each individual included in the proposed prosecution team - including support staff, and is provided with the application (check documents included):

*Personnel Screening, Consent and Authorization Form (all)

CRA Consent Form (counsel only)*

Certificate of Good Standing with Law Society (counsel only)

Recent Curriculum vitæ (all)

References

Student Card (if applicable)

Paralegal License (where applicable)

**Paralegal Application (where applicable)

* The “Personnel Screening, Consent and Authorization Form” can be obtained from the contact person listed on the advertisement.

** Paralegal applications apply to staff members who perform paralegal duties but do not have a provincial certificate; the application and guidelines can be obtained from the contact person listed on the advertisement.

IMPORTANT: CRA will not disclose information other than advise the PPSC whether or not there exists (or existed) serious compliance issues based on information obtained through a review of the applicant’s history with CRA over a period of up to 10 years; note that this information is not available at the local CRA level.

Each submission must include a completed copy of this application and the documentation as described above, signed by the designated contact.

Part II – Firm Profile

Applicant’s (Firm) Name: ______________________________________________________

Year Firm Established: _______________________________________________________

Size of Firm; number of:

Partners/Associates _______
Lawyers ________________
Students ________________
Paralegals _______________
Support Staff _____________

Names of Proposed Federal Prosecution Team:

Lawyer(s): _____________________________________________________
Student(s): ____________________________________________________
Paralegal(s): ___________________________________________________
Support Staff: __________________________________________________

Area of Expertise:

_____________________________________________
_____________________________________________

Other areas of Practice:

_____________________________________________
_____________________________________________
_____________________________________________

Other than the proposed office, does your firm have offices in other locations (i.e., affiliations, etc.)? If so, please provide the location(s):

______________________________________________________________________

Part III – Rated Assessment Criteria (Min. 60 pts)

The application must provide detailed information and/or examples to demonstrate how the applicant meets the assessment criteria¹. A separate document may be provided if additional space is required.

1. Experience in conducting criminal and regulatory litigation (40 pts)

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

2. Experience in working in collaboration and coordinating multiple stakeholders (30 pts)

3. Ability to analyze legal issues and provide legal advice (10 pts)

4. Ability to work independently (10 pts)

5. Ability to work under pressure (10 pts)

PART IV – Additional Information

1. Describe your firm’s commitment to the PPSC as Agents; for example, how PPSC prosecutions will be integrated into your existing practice and what changes / adaptations will be required to ensure compliance with Part II of the Terms and Conditions (Conflict of Interest):

2. If you are applying for a vacancy located in excess of 100 km from your office, explain how you intend to provide prosecutorial coverage to the vacated location:

3. Additional comments / information you would like to provide:

Signature of Contact

Date

Certification

Accuracy of Information

I hereby certify that all information provided herein is accurate.

Members of Legal Team and Staff Certification

I have satisfied myself that the individuals proposed for this requirement are capable of satisfactorily performing the services herein. I also certify that the work assigned to these individuals will be carried out in a timely manner and will respect any deadlines established by the Court.

Education / Experience

I hereby certify that all statements made with regard to the education and the experience of individuals proposed for completing the subject work are accurate and factual, and I am aware that the Public Prosecution Service of Canada (PPSC) reserves the right to verify any information provided in this regard and that untrue statements may result in the application being declared non-responsive or in other action which the PPSC may consider appropriate.

Conflict of Interest

On acceptance of this submission by the PPSC, I undertake to comply with Part II of the Terms and Conditions of Appointment governing Conflicts of Interest.

In the event that I become aware of circumstances that could create a situation of conflict of interest or appearance of conflict of interest, I undertake to report it to the Agent Supervisor and follow any resulting instructions.

Signature of Contact

Date

Consent to Release of Information

To: National Agent Coordinator
Agent Affairs Unit, Headquarters
Public Prosecution Service of Canada

And to: Canada Revenue Agency

In accordance with the Public Prosecution Service of Canada’s (PPSC) Fixed-Term Agreement requirements, I must be in compliance with the Canada Revenue Agency (CRA), personally and professionally, in order to obtain an Agreement or retain my status as an Agent of the Director of Public Prosecutions (DPP).

Therefore, this shall be your good and sufficient authority to conduct background checks on me, personally and professionally, for the purposes of ascertaining any information that will determine my suitability as an Agent of the DPP, and as such, perform my duties in a fair and impartial manner.

I hereby authorize the CRA to review my records and any other information that the CRA may have concerning me, under any Act administered in whole or in part by the CRA, to determine my suitability to act as an Agent of the DPP, either because I am being considered for an Agreement or because the validity of my previous check will soon expire; the CRA will or will not endorse the request by indicating to the PPSC National Agent Coordinator whether there exist any significant compliance-related issues. It is understood that the PPSC and the CRA are not under any obligation to reveal the results of the background check or ensuing discussions with me. I will not request any of the information obtained by or used for the checks.

Name (please print) ______________________________________________________

Gender: M

Date of birth (D/M/Y):

SIN

Current address
______________________________________________________________________
______________________________________________________________________

I practice as:

private practice

partnership

associate

employee

Name of Firm, as registered with the CRA: ___________________________________

HST/GST Registration Number issued by the CRA: _____________________________

Dated at __________ in the Province of ___________ this ___ day of ___ 20__

Signature

Date

1 This requirement applies to all applicants, including incumbents.

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Date Modified:: 2013-02-13

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Application for Fixed-Term Agreement

Part I: Application in response to the following Notice of Opportunity:

Contact

Part II – Firm Profile

Part III – Rated Assessment Criteria (Min. 60 pts)

PART IV – Additional Information

Certification

Accuracy of Information

Members of Legal Team and Staff Certification

Education / Experience

Conflict of Interest

Consent to Release of Information

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