Student Practice Application

Similar documents
WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages)

IUPUI Office of Student Conduct Disciplinary Procedures for Alleged Violations of Personal Misconduct

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.

Pierce County Schools. Pierce Truancy Reduction Protocol. Dr. Joy B. Williams Superintendent

CIN-SCHOLARSHIP APPLICATION

George E. Sims, Jr. Nursing Scholarship Application PERSONAL INFORMATION. WellStar West Georgia Medical Center s

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke

Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) University Avenue Fax: (610)

University of Massachusetts Amherst

BY-LAWS of the Air Academy High School NATIONAL HONOR SOCIETY

EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV Equal Opportunity Employer

MANDATORY CONTINUING LEGAL EDUCATION REGULATIONS PURPOSE

Proposed Amendment to Rules 17 and 22 of the Rules of the Supreme Court of the State of Hawai i MANDATORY CONTINUING LEGAL EDUCATION

Children and Adults with Attention-Deficit/Hyperactivity Disorder Public Policy Agenda for Children

ADULT VOCATIONAL TRAINING (AVT) APPLICATION

Emergency Medical Technician Course Application

LAKEWOOD SCHOOL DISTRICT CO-CURRICULAR ACTIVITIES CODE LAKEWOOD HIGH SCHOOL OPERATIONAL PROCEDURES FOR POLICY #4247

Meeting these requirements does not guarantee admission to the program.

University of Michigan - Flint POLICY ON FACULTY CONFLICTS OF INTEREST AND CONFLICTS OF COMMITMENT

Baker College Waiver Form Office Copy Secondary Teacher Preparation Mathematics / Social Studies Double Major Bachelor of Science

KENT STATE UNIVERSITY

Instructions concerning the right to study

The Louis Stokes Scholar Internship A Paid Summer Legal Experience

Enrollment Forms Packet (EFP)

Policy Name: Students Rights, Responsibilities, and Disciplinary Procedures

Rules of Procedure for Approval of Law Schools

DISCIPLINE PROCEDURES FOR STUDENTS IN CHARTER SCHOOLS Frequently Asked Questions. (June 2014)

Department of Social Work Master of Social Work Program

HELPING YOU HELP YOUR CHILD: A FOCUS ON EDUCATION

NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION

Freshman Admission Application 2016

June 2, Via . Stephen Metz Bankruptcy Bar Association-District of Maryland 4800 Montgomery Lane Suite 900 Bethesda, MD RE: NEE1609

DISCIPLINARY PROCEDURES

THE BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN, NEW YORK 11212

New Student Application. Name High School. Date Received (official use only)

Discrimination Complaints/Sexual Harassment

Northwest Georgia RESA

Steve Miller UNC Wilmington w/assistance from Outlines by Eileen Goldgeier and Jen Palencia Shipp April 20, 2010

Qs&As Providing Financial Aid to Former Everest College Students March 11, 2015

Anyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or

Thomas Jefferson University Hospital. Institutional Policies and Procedures For Graduate Medical Education Programs

Application Paralegal Training Program. Important Dates: Summer 2016 Westwood. ABA Approved. Established in 1972

From Bystander to Facilitator University: Improving Community Relationships and Safety by Addressing Off-Campus Student Conduct

Special Disciplinary Rules for Special Education and Section 504 Students

Application for Fellowship Leave

Legal Technicians: A Limited License to Practice Law Ellen Reed, King County Bar Association, Seattle, WA

Rules and Regulations of Doctoral Studies

Greek Life Code of Conduct For NPHC Organizations (This document is an addendum to the Student Code of Conduct)

Adult Vocational Training Tribal College Fund Gaming

Judith Fox Notre Dame Law School 725 Howard Street South Bend, IN (574)

Non-Academic Disciplinary Procedures

Department of Education School of Education & Human Services Master of Education Policy Manual

International Undergraduate Application for Admission

Special Diets and Food Allergies. Meals for Students With 3.1 Disabilities and/or Special Dietary Needs

JD Concentrations CONCENTRATIONS. J.D. students at NUSL have the option of concentrating in one or more of the following eight areas:

My Child with a Disability Keeps Getting Suspended or Recommended for Expulsion

2018 Summer Application to Study Abroad

R. E. FRENCH FAMILY EDUCATIONAL FOUNDATION

ESIC Advt. No. 06/2017, dated WALK IN INTERVIEW ON

BSW Student Performance Review Process

Anglia Ruskin University Assessment Offences

DISABILITY RESOURCE CENTER STUDENT HANDBOOK DRAFT

Tamwood Language Centre Policies Revision 12 November 2015

Policy Manual Master of Special Education Program

MADISON METROPOLITAN SCHOOL DISTRICT

AUTHORIZED EVENTS

Somerset Academy of Las Vegas Disciplinary Procedures

EMPLOYEE DISCRIMINATION AND HARASSMENT COMPLAINT PROCEDURE

BISHOP BAVIN SCHOOL POLICY ON LEARNER DISCIPLINE AND DISCIPLINARY PROCEDURES. (Created January 2015)

Master of Science in Taxation (M.S.T.) Program

PUTRA BUSINESS SCHOOL (GRADUATE STUDIES RULES) NO. CONTENT PAGE. 1. Citation and Commencement 4 2. Definitions and Interpretations 4

ARLINGTON PUBLIC SCHOOLS Discipline

THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone

APPLICATION FOR SPD STUDY AWARDS

GRADUATE STUDENTS Academic Year

CHAPTER 30 - NC BOARD OF MASSAGE AND BODYWORK THERAPY SECTION ORGANIZATION AND GENERAL PROVISIONS

Graduate Student Grievance Procedures

Preferred method of written communication: elearning Message

Disciplinary action: special education and autism IDEA laws, zero tolerance in schools, and disciplinary action

Advertisement No. 2/2013

Illinois Grand Assembly - Academic Scholarship Application

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

Academic Regulations Governing the Juris Doctor Program 1

Sacramento State Degree Revocation Policy and Procedure

14820 Serenita Avenue Oklahoma City, OK COURSE CATALOG

Colorado

MSW Application Packet

Youth Mental Health First Aid Instructor Application

Policy JECAA STUDENT RESIDENCY Proof of Legal Custody and Residency Establishment of Residency

MPA Internship Handbook AY

ADULT VOCATIONAL TRAINING PROGRAM APPLICATION

The application is available on the AAEA website at org. Click on "Constituent Groups", then AAFC and then AAFC Scholarship.

UNIVERSITY OF BIRMINGHAM CODE OF PRACTICE ON LEAVE OF ABSENCE PROCEDURE

Journalism Graduate Students Handbook Guide to the Doctoral Program

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements

SAMPLE AFFILIATION AGREEMENT

STUDENT SUSPENSION 8704

Greek Conduct Process Handbook

ACADEMIC POLICIES AND PROCEDURES

Transcription:

Student Practice Application Office of the Dean This application form comprises one part of the Application for Special Admission under Rule 48 of the District of Columbia Court of Appeals. Once the Registrar announces your clinic assignment, complete this application form and the Court of Appeal s Rule 48 application form together (making sure to sign both where requested) and submit both forms and any supporting documentation to Sandy Arce, Clinic Assistant and the Dean s designee for collecting applications. DO NOT submit anything directly to the Court of Appeals. Once the School has completed its character investigation, the Dean will sign the certification form and submit your completed application to the Court of Appeals. The Court of Appeals will mail student practice ID cards to the School, which will distribute them to students. Once approved, Special Admission under Rule 48 lasts for one year. If obtaining documentation (to support a statement in response to any of these questions) will delay your submission by more than a week or two, you may submit your applications and statements with a brief explanation regarding the delay in obtaining documentation. With that submission, the School of Law can begin processing your application. You should, in that circumstance, continue seeking the documentation and submit it when you receive it. Having the documentation will be useful in that you will likely need to submit it when you apply to take the bar exam. If you need more information or explanation regarding the questions below, please contact the dean for experiential and clinical programs or, in the absence of that dean, the chair of the Clinical Affairs Committee. DO NOT contact the Court of Appeals. Name:_ E-mail: 1. Either as an adult or a juvenile, have you ever been cited, arrested, charged or convicted for any violation of any law (except minor traffic violations)? Alcohol- or drug-related offenses and moving traffic violations are not considered to be minor. If YES, you must submit a statement and supporting documents. 2A. Do you currently have any condition or impairment (including, but not limited to, substance abuse, alcohol abuse, or a mental, emotional, or nervous disorder or condition) that in any way affects your ability to practice law in a competent, ethical, and professional manner? As used in Question 2, "currently" means recently enough that the condition or impairment could reasonably affect your ability to function as a student lawyer. 2B. If your answer to Question 2A is yes, are the limitations caused by your condition or impairment reduced or ameliorated because you receive ongoing treatment or because you participate in a monitoring or support program? If your answer to Question 2A or 2B is YES, you must submit a statement. YES NO (cont.) Practice Law. Promote Justice. Change Lives. 4340 Connecticut Avenue NW Suite 444 Washington, DC 20008 202.274.7332 202.274.5441 FAX www.law.udc.edu

3. Within the past five years, have you asserted any condition or impairment as a defense, in mitigation, or as an explanation for your conduct in the course of any inquiry, any investigation, or any administrative or judicial proceeding by an educational institution, government agency, professional organization, or licensing authority; or in connection with an employment disciplinary or termination procedure? If YES, you must submit a statement. 4. Have you ever been delinquent in any financial obligations, including student loans and credit cards? Merely making a late payment on a credit card does not require a yes answer. If your debt has been sent to a collection service or if you have executed a repayment agreement for any delinquent debt, you must answer yes. If YES, you must submit a statement and supporting documents. 5. During the past five years, have you been a party in any civil proceeding (including landlord/tenant and bankruptcy matters) or family law matter (including continuing orders for child support)? If YES, you must submit a statement and include a copy of the court judgment. 6. Have you ever been dropped, suspended, warned, placed on scholastic or disciplinary probation, expelled, requested to resign, or allowed to resign in lieu of discipline, from any school (above the elementary school level), college, or university, or otherwise subjected to discipline by any such school or institution, or requested or advised by any such school or institution to discontinue your studies therein? If YES, you must submit a statement and supporting documents. YES NO If new information relevant to the questions above arises at any time while you are still enrolled in a clinic, you are required to disclose that information to the dean for experiential and clinical programs or, in the absence of that dean, the chair of the Clinical Affairs Committee and supplement your answers to these questions, providing relevant supporting documents. By signing below, I attest that the information provided in this application is to the best of my knowledge and belief true and complete. I understand that I have a continuing responsibility to correct or update this information while I am enrolled in clinic. Signature:Date: Practice Law. Promote Justice. Change Lives. 4340 Connecticut Avenue NW Suite 444 Washington, DC 20008 202.274.7332 202.274.5441 FAX www.law.udc.edu

District of Columbia Court of Appeals Committee on Admissions 430 E Street, N.W. - Room 123 Washington, D.C. 20001 202 / 879-2710 INSTRUCTIONS FOR THE APPLICATION FOR SPECIAL ADMISSION UNDER RULE 48 OF THE DISTRICT OF COLUMBIA COURT OF APPEALS The Rule 48 application form must be typewritten and single sided. You must have the law school execute the DEAN S CERTIFICATION to accompany your application. The application form should be filed with: District of Columbia Court of Appeals Committee on Admissions 430 E Street, N.W. - Room 123 Washington, D.C. 20001 Attention: Rule 48 Application(s) The processing time is approximately ten (10) business days. If you wish to check the status of your application, please contact your Clinic s Director or the liaison. All correspondence will be addressed to the Clinic s Dean listed on the application; students should NOT contact the Committee on Admissions for status updates. An identification card bearing your assigned Law Student Number, signifying that you are a registered participant in the Rule 48 Legal Assistance by Law Students Program, will be mailed to your Clinical Director or the liaison (Rev 12/2014)

ID# District of Columbia Court of Appeals Committee on Admissions 430 E Street, N.W. - Room 123 Washington, D.C. 20001 202 / 879-2710 APPLICATION OF for special admission to the Bar of the District of Columbia Court of Appeals pursuant to Rule 48 relating to legal assistance by law students in an approved law school clinical program. MAILING ADDRESS (Street Address or P.O. Box) (Apt.) (City) (State) (Zip Code) (Date of Birth) (Place of Birth) (Sex) TELEPHONE ( ) ( ) ( ) (Home) (Work) (Other) EMAIL NAME (Last) (Suffix) (First) (Middle) EDUCATION (College) (City, State) (From Mo/Yr) (To Mo/Yr) (Degree) (Law School) (Expected date of JD Degree) (Clinical Program) Clinical Director/Liaison/Contact/Representative) (Phone) 1 (Rev 12/2014)

================================================================================= I do hereby certify that I have read and am familiar with the District of Columbia Student Practice Rule (D.C. App. R. 48), the District of Columbia Unauthorized Practice Rule (D.C. Court of App. R. 49), and the District of Columbia Rules of Professional Conduct. I further certify that the information provided is accurate to the best of my knowledge. (Printed Name) _ Signature of Applicant _ Date 2

DISTRICT OF COLUMBIA COURT OF APPEALS COMMITTEE ON ADMISSIONS DEAN S CERTIFICATION of an Applicant seeking special admission to the Bar of the District of Columbia Court of Appeals pursuant to Rule 48 relating to legal assistance by law students in an approved law school clinical program. I, Katherine S. Broderick, of the U.D.C. David A. Clarke School of Law (Dean) (Name of Law School) do hereby certify that _ (Name of Student) entered this school as a student of law on (Date) ; has successfully completed one third of his/her legal studies, has satisfied the appropriate pre-requisites, and is registered for the appropriate corequisites necessary to ensure that he/she is prepared to provide legal representation to clients; is of good character; possesses competent legal ability; and is adequately trained to participate in cases or matters pending before the courts or administrative tribunals. The student is enrolled in, (Name of Clinical Program) a clinical program under the direction of a faculty member/supervising attorney, who will have satisfied all of the appropriate requirements of D.C. Court of App. R. 48. Signature of Dean Date Dean: Katherine S. Broderick To be completed by Clinical Director: Matthew Fraidin 457958 Name DC Bar Number _ Date MFraidin@udc.edu Email Mailing Address UDC David A. Clarke School of Law 4340 Connecticut Avenue NW Washington, DC 20008 3