Professiona Paraega (PP) Examination Appication 8159 East 41 st Street, Tusa, Okahoma 74145 Ca: 918-582-5188 Fax: 918-582-5907 Emai: cert-edu@nals.org NALS.org CHECK ALL THAT APPLY: FULL EXAM CURRENT PLS/CLP RETAKE TESTING PERIOD: First Saturday in March Appication postmarked by January 15. Last Saturday in September Appication postmarked by August 1. NO APPLICATIONS WILL BE APPROVED AFTER THE ABOVE DEADLINES. PREFERRED TESTING LOCATION: Pease refer to the NALS Certification Resource Manua regarding testing ocations and additiona information. List your preferred ocation or exam administrator. (Street Address) (City, State) (Exam Administrator) REQUIREMENTS: You must meet one of the foowing requirements to sit for the PP examination. Pease check the requirement you meet. AT THE TIME I SIT FOR THE EXAMINATION, I WILL: Have a minimum of five years of experience performing paraega/ega assistant duties. Hod a bacheor s degree in paraega studies. Have graduated from an ABA-approved Paraega Program. Have graduated from another accredited paraega program which consists of a minimum of 60 semester hours and/or 900 cock hours, of which a minimum of 15 semester hours and/or 225 cock hours were in substantive aw. Hod a bacheor s degree in an unreated fied and have a minimum of one year of experience performing paraega/ ega assistant duties. A student 3 months from graduating from an ABA-accredited instituion. First Name Midde Initia Last Name Address City State ZIP Date of Birth / / Phone Emai NALS Member Number Nonmember Student Miitary Personne EMPLOYER/INSTRUCTOR NOTIFICATION: NALS may notify my empoyer when I successfuy pass the PLS/CLP examination. Yes No If yes, state the name and address of your empoyer. Incude the name and tite of the person you want NALS to inform. Organization Contact Name Contact Tite Address City State ZIP Page 1 of 3 NALS... the association for ega professionas PLS/CLP Exam Appication Version Update: June 2017g
NO APPLICATIONS WILL BE APPROVED AFTER THE DEADLINE. If you do not currenty meet the requirements, as isted on page 1, for the PP Certification Exam, pease expain what experience(s) and/or education shoud be considered: EXAMINATION FEES: Fu Exam NALS Member $225 Nonmember $275 Currenty Certified PLS/CLP $175 Miitary (verfication required) $225 Retake Exam NALS Member $60/per part Non-Member $70/per part Miitary (verfication required) $60/per part Indicate Parts to Be Re-Taken: n Part 1 - Written Communications n Part 2 - Lega Knowedge and Skis n Part 3 - Ethics and Judgment Skis n Part 4 - Substantive Law NOTE: If you need to retake a four parts, pease register for Fu Exam. NO APPLICATIONS WILL BE APPROVED AFTER THE DEADLINE. TESTING ACCOMMODATIONS: Pease note any specia testing needs for or during the exam process. REFUND POLICY: If you are unabe to sit for the examination at any time foowing submission of your appication, the entire fee, ess a 25% processing fee, may be refunded if requested 30 days or more before the schedued examination date. Canceations after this period wi forfeit fu amount of registration. No transfers wi be aowed. PAYMENT INFORMATION: Payment is due with the examination appication; make a checks payabe to NALS. Pease write appicant s name on check. There wi be a $25 charge for returned checks and rejected credit/debit card charges. Tota Amount Due Check One: Check or Money Order MasterCard Credit Card Number: Visa Discover Expiration Date: / Sec. Code: Print Name as it Appears on the Card Signature (credit card registrants ony) THIS APPLICATION MUST BE COMPLETED IN ITS ENTIRETY TO BE ACCEPTED I certify that I have read and understand the reguations concerning the PP examination, that the information suppied is correct, and that I am responsibe for submitting information to keep my fie current. NALS reserves the right to obtain verification of information provided in this appication. I understand and agree that a examination materias, answers, and scores are the excusive property of NALS. I agree that NALS may, in its discretion, reease information about the test scores to researchers seected by NALS to study testing issues for the NALS certification programs under appropriate confidentiaity estabished by NALS. Aside from such research purposes, I have identified on this appication those persons who may have access to my resuts. Submission of this appication means the appicant is subject to the poicies estabished by the NALS Certifying Board. Providing fase information may resut in my forfeiture of the right to sit for the PP exam or the revocation of my NALS PP designation upon successfu competion of the examination. Signature Date Mai Appication To: 8159 East 41 st Street, Tusa, Okahoma 74145 Ca: 918-582-5188 Fax: 918-582-5907 Emai: cert-edu@nals.org NALS.org Page 2 of 3 NALS... the association for ega professionas PLS/CLP Exam Appication Version Update: June 2017g
Empoyment Verification and Empoyer Statement Form (retake appicants do not need to compete this section) Pease have your current empoyer (and previous empoyer(s) if appicabe) compete the foowing sections. If the aoted space is not enough pease attach the desired information to this appication. I swear that the above named appicant for certification as a Professiona Paraega has been/was empoyed by me in a capacity as defined by the ABA and adopted by NALS for (years/months) in compiance with the eigibiity requirements for this examination (see page 3). Attorney E-Signature: Printed Name: _ State & Bar Number: Year Admitted to Bar: Firm: Address: City: State: ZIP: Emai Address: Phone: I swear that the above named appicant for certification as a Professiona Paraega has been/was empoyed by me in a capacity as defined by the ABA and adopted by NALS for (years/months) in compiance with the eigibiity requirements for this examination (see page 3). Attorney E-Signature: Printed Name: _ State & Bar Number: Year Admitted to Bar: Firm: Address: City: State: ZIP: Emai Address: Phone: I swear that the above named appicant for certification as a Professiona Paraega has been/was empoyed by me in a capacity as defined by the ABA and adopted by NALS for (years/months) in compiance with the eigibiity requirements for this examination (see page 3). Attorney Signature: Printed Name: _ State & Bar Number: Year Admitted to Bar: Firm: Address: City: State: ZIP: Emai Address: Phone: I swear that the above named appicant for certification as a Professiona Paraega has been/was empoyed by me in a capacity as defined by the ABA and adopted by NALS for (years/months) in compiance with the eigibiity requirements for this examination (see page 3). Attorney Signature: Printed Name: _ State & Bar Number: Year Admitted to Bar: Firm: Address: City: State: ZIP: Emai Address: Phone: Lega Assistant / Paraega Defined by the ABA and adopted by NALS: A ega assistant/paraega is a person, quaified by education, training or work experience who is empoyed or retained by a awyer, aw office, corporation, governmenta agency or other entity and who performs specificay deegated substantive ega work for which a awyer is responsibe. Page 3 of 3 NALS... the association for ega professionas PLS/CLP Exam Appication Version Update: June 2017g
Paraega Student Verification Form Students of an accredited or ABA-approved paraega studies program who are near graduation (within a three-month window) may sit for the Professiona Paraega (PP) certification examination, provided the waiver beow is signed by both the instructor of record and the student. APPLICANT INFORMATION: Name Address City State ZIP Work Phone Home Phone E-mai Address Degree/Certification Awarded Award Date COLLEGE/UNIVERSITY/ASSOCIATION: Awarding Institution Name Awarding Degree or Certification Address City State ZIP I request a waiver of the five-year experience requirement for the PP examination and submit the above information regarding my post-secondary education or other certification. Signature of Appicant Date Pease submit this form with the PP Exam Appication and supporting documents to the address beow. Mai Appication To: 8159 East 41 st Street, Tusa, Okahoma 74145 Ca: 918-582-5188 Fax: 918-582-5907 Emai: cert-edu@nals.org NALS.org Page 1 of 2 NALS... the association for ega professionas PLS/CLP Exam Appication Version Update: June 2017g
Paraega Student Verification Form Continued Instructor I hereby certify that the above named student is schedued to graduate on / / (must be within a threemonth window). (Instructor Signature) (Date) Instructor Emai: Instructor Phone Number: Appicant/Student I,, do hereby understand that if I do not successfuy graduate from my accredited or ABA-approved paraega studies program, the resuts of my PP examination wi become nu and void and my exam fee forfeited. (Appicant/Student Signature) (Date) Instructor Office Address: Pease submit this form with the PP Exam Appication and supporting documents to the address beow. Mai Appication To: 8159 East 41 st Street, Tusa, Okahoma 74145 Ca: 918-582-5188 Fax: 918-582-5907 Emai: cert-edu@nals.org NALS.org Page 2 of 2 NALS... the association for ega professionas PLS/CLP Exam Appication Version Update: June 2017g