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Form Law School Certificate - New York
| Form Law School Certificate Form. This is a New York form and can be used in Attorney Admission And Continuing Legal Education Attorneys Statewide . |
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APPLICATION FOR ADMISSION TO PRACTICE AS AN ATTORNEY AND COUNSELOR-AT-LAW IN THE STATE OF NEW YORK FORM LAW SCHOOL CERTIFICATE INSTRUCTIONS Applicant must complete the first portion of this form certificate, sign the form and send it to each law school listed by the applicant on his or her application for admission questionnaire (see question number 5). The law school should complete the remainder of the form and return it directly to the Appellate Division Department designated below by the applicant. Completion and submission of this form is a prerequisite to applicant's admission to the New York State Bar. To Be Completed By Applicant: NAme of ApplicANT currENt StrEEt addrESS (office or home) StatE phoNE SociAl SecuriTy NumBer NAme of lAw School addrESS of Law SchooL zIp Bole iD # (NYS Board of Law Examiners Identification Number): cItY / towN / vILLagE couNtrY (if not USA) E-maIL (if available) StatE zIp couNtrY (if not USA) To Be Completed By Law School Only: DATeS Of ATTeNDANCe at law school: from (mm / yyyy): DATe gRADUATeD from law school: DegRee CONfeRReD by law school: (mm / yyyy): / / To (mm / yyyy): / AUTHORIZATION BY APPLICANT: I (name of applicant), , hereby and persons issuing this certificate to authorize (name of law school) release to the Appellate Division of the New York State Supreme Court all information, files or records requested by it or its Committees on Character and Fitness in connection with the processing of my application for admission to the Bar of the State of New York. Signature of applicant date mm/dd/yyyy) application for admission to practice as an attorney and counselor-at-Law in the State of New York: form Law School Certificate 1 American LegalNet, Inc. www.FormsWorkFlow.com Designation Of Appellate Division Department To Which Law School Should Mail Completed Form: (applicant must check one of the following): FIRST JUDICIAL DEPARTMENT: ......... Committee on Character and Fitness, Appellate Division, First Department, 41 Madison Avenue, 26th Floor, New York, New York 10010. SECOND JUDICIAL DEPARTMENT: . . . . . . . Executive Director, Committees on Character and Fitness, Appellate Division, Second Department, 335 Adams Street, Room 2404, Brooklyn, New York 11201. THIRD JUDICIAL DEPARTMENT: . . . . . . . . . Admissions Office, Appellate Division, Third Department, P.O. Box 7350, Capitol Station, Albany, New York 12224. FOURTH JUDICIAL DEPARTMENT: . . . . . . . Admissions Office, Appellate Division, Fourth Department, Suite 200, 50 East Avenue, Rochester, New York 14604. To Be Completed By Law School: Please confirm whether or not the law school information provided by applicant above is accurate: Yes No If No, please explain: Was applicant charged with any misconduct, or disciplined, suspended, or dropped for any misconduct? Yes No If Yes, please state fully: Is there any other discreditable information in the personnel or other records of the law school regarding the applicant's conduct or activities or bearing upon applicant's character not otherwise set forth in this form certificate? Yes No If Yes, please state fully: If applicant filed a questionnaire or written application containing data about himself or herself, please supply a copy thereof, if available. Official Seal Of law SchOOl: Dated , 20 . Official Signature Title (If form is not in English, it must be accompanied by a duly authenticated English translation.) Revised 03/2011 application for admission to Practice as an attorney and counselor-at-law in the State of New York: Form Law School Certificate 2 American LegalNet, Inc. www.FormsWorkFlow.com
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