Attorney Admissions Form (Application And Oath For Admission)

UNITED STATES COURT OF APPEALS FOR THE TENTH CIRCUIT OFFICE OF THE CLERK Byron White United States Courthouse 1823 Stout Street Denver, Colorado 80257 (303) 844-3157 Elisabeth A. Shumaker Clerk of Court Chris Wolpert Chief Deputy Clerk Dear Counsel: Admission to the bar of the Tenth Circuit is a prerequisite to practicing here. For general information regarding eligibility and procedures please see Fed. R. App. P. 46(a) and Tenth Circuit Rule 46.2. To apply, you must complete the attached form, as well as pay the admission fee, if required. Specifically, please answer all the questions on the attached form. We do require that you identify, and provide an identification number for, if applicable, any court on which you rely for admission. We will confirm your admission with the appropriate authorities. In addition, please note the form constitutes a motion for admission. It must be signed by a member of this bar who is willing to confirm your good standing. As an alternative to obtaining the signature of another member of the Tenth Circuit bar, you may provide us with an original certificate of good standing, issued in the last 90 days, from the Supreme Court of the United States, the highest court of a state, or from a state licensing authority which confirms your good standing. The certificate should be submitted with your other admission materials. If you choose this alternative, the Clerk will act as the movant on your admission motion. The fully completed form, with the certificate of good standing if provided, should be returned to the address noted above on this letterhead. You must print the application form and provide an original signature. In addition, you must enclose your admission payment in the amount of $225. Your check or money order should be made payable to "Elisabeth A. Shumaker, Clerk." In the alternative, please note the court now accepts online payment for admission fees. Information regarding making online payments is also available on our website. Please note the admission fee is waived for any attorney representing the United States or a federal agency, or for any attorney appointed under the Criminal Justice Act Plan or Plan For Special Civil Appointments. Once your admission is processed you will receive a certificate from this court. American LegalNet, Inc. www.FormsWorkFlow.com After you are admitted, you need not reapply for admission unless you have been suspended or disbarred by the court. See 10th Cir. R. 46.2(B). If you have any questions regarding your admission or this process, please do not hesitate to email, call or write this office. Thank you for your interest in the Tenth Circuit. Very truly yours, ELISABETH A. SHUMAKER Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com Attachment American LegalNet, Inc. www.FormsWorkFlow.com United States Court of Appeals for the Tenth Circuit 1823 Stout Street, Denver, Colorado 80257 APPLICATION AND OATH FOR ADMISSION Name (Last, First, Middle Initial) Firm name or Agency Street Address Mailing Address (if different from above) Phone number ( ) City City Email Address @ Date of Birth / / Last 4 digits of SS # (optional) State State Zip Code Zip Code Please answer each question below. If the answer to any question is yes, please attach a statement providing specific details. 1. Have you been known by any name other than that appearing on the application? Yes No 2. Have you ever been disbarred or suspended from practice before any state or federal court or government agency? Yes No 3. Have you ever been the subject of any discipline other than suspension or disbarment, including but not limited to private or public censure or reprimand? Yes No 4. Are you the subject of any disciplinary actions pending currently before any licensing authority or court? Yes No 5. Are you currently under investigation by any licensing authority or court regarding a disciplinary matter? Yes No Bar Admission Information State Federal/Additional State / / Status Date Admitted / / Bar Number (if applicable) Oath I, , certify that I am of good moral and professional character. 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. Signature of Applicant________________________________________ Date / / Motion for Admission This section must be completed by a movant in good standing, who is admitted to the United States Court of Appeals for the Tenth Circuit. The clerk can act as the movant if counsel provides a certificate of good standing from a state licensing authority which confirms his or her good standing. I, , a member in good standing before the Tenth Circuit Court of Appeals move the admission of the above named applicant. To my knowledge, the applicant is of good moral character and meets the requirements of Fed. R. App. P. 46(a)(1). Signature of Movant__________________________________________ Date / / American LegalNet, Inc. www.FormsWorkFlow.com