STATE BAR of GEORGIA
Form 4
COMMISSION
CONTINUING LAWYER COMPETENCY
ON
104 Marietta Street, N.W., Suite 100
Atlanta, Georgia 30303
(404) 527-8710
R
S
A
I
-H
CLE A
EQUEST BY THE
PONSOR FOR
PPROVAL OF AN
N
OUSE
CTIVITY
PLEASE NOTE: Regulation #5 under Rule 8-106 (B) applies specifically to in-house CLE activities.
1. Name of CLE Sponsor:
2. Name of Contact Person:
Telephone
3. Full Address (Include Firm's Name):
Email
4. Title of the CLE Activity:
5. Date(s):
6. Location(s) (city and state):
7. Please attach a course brochure or schedule listing each topic and the time of each topic.
8. Requested (A) total CLE Hours and the portions of the total hours devoted to (B) Ethics, (C) Trial and
(D) Professionalism: (Please round the hours to the nearest on-tenth of an hour)
(A) ________ minutes = ___________ Total CLE Hours*
(Minimum of 12 hours
60
per calendar year)
(B) ________ minutes = ____________ Total Ethics Hours*
(Minimum of 1 hour
60
per calendar year)
(C) ________ minutes = ____________ Total Trial Hours*
(Minimum of 3 hours per calendar
60
year for each active member who appears
as sole or lead counsel in Superior or State
Court of Georgia in any contested civil or
criminal case)
(D) ________ minutes = ____________ Total Professionalism Hours*
(Minimum of 1 hour
60
per calendar year)
9. Submit with this request the following information:
A. A brochure or other such outline that (1) describes the course content, (2) identifies the faculty and
states their qualifications, (3) lists the topics by title, and (4) shows the time schedule for each topic,
for breaks, for lunch, etc.
B. One copy of the materials that will be distributed to each attendee. A submission of this form without
written materials will only delay the review process. If no materials or only brief outlines will be provided,
please attach an explanation showing why this CLE activity meets the accreditation standards contained
in the CLE Rules and Regulations which can be found on the internet at .
10. The Sponsor agrees to furnish to the CCLC within 30 days after this CLE activity the following:
A. A list in alphabetical order, of the name and State Bar of Georgia membership number
of each Georgia attendee.