Application For Admission To The Bar Page 2
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1
2STATE COURT ADMISSIONS:
Status
Approx. Date Admitted
(active, inactive)
(if available)
1.
2.
3.
FEDERAL COURT ADMISSIONS:
Status
Approx. Date Admitted
(active, inactive)
(if available)
1.
2.
3.
DISCIPLINARY ACTIONS: Have you ever been disciplined, or are you the subject of any pending disciplinary
proceeding, by the bar of any jurisdiction or by any court?
[ ] Yes
[ ] No
If yes, please explain in detail on a separate sheet of paper.
CRIMINAL CONVICTIONS: Have you ever been convicted of a criminal offense (other than a traffic offense)?
[ ] Yes
[ ] No
If yes, please explain in detail on a separate sheet of paper.
OATH
I,
, certify that, to the best of my knowledge and belief, the information on this
application is true, correct, complete, and made in good faith. I do solemnly swear (or affirm) that I will conduct myself
as an attorney and counselor of this court, uprightly and according to law; and that I will support the Constitution of the
United States.
(original signature)
Subscribed and sworn to before me this
day of
, 20
Notary commission expires:
(date)
(signature and title) (AFFIX SEAL)
MOTION FOR ADMISSION
I,
, a member of the Bar of the United States Court of Appeals for the Fourth Circuit,
hereby move the admission of the applicant to the Bar of the Court. I am satisfied that the applicant is of good moral
and professional character and is admitted to practice before the highest court of a state.
(date)
(original signature)
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