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Application For Certification - Senior Law Student - Illinois
| Application For Certification - Senior Law Student Form. This is a Illinois form and can be used in Administrative Office Of The Courts Statewide . |
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APPLICATION FOR CERTIFICATION - SE NIOR LAW STUDENT ILLINOIS SUPREME COURT RULE 711 Attach To: Administrative Office of the Illinois Courts th222 North LaSalle Street, 13 Floor Recent Chicago, Illinois 60601 1" x 1-1/2"THIS CERTIFIES THAT (please print or type): First Name Middle Initial Last Name Social Security Number Street Address City/State/Zip Code ( ) County Telephone Number a law student at ________________________ School of Law has received credit for work representing at least three-fifths of the total hourly credits required for graduation from the law school, is a student in good academic standing, and is eligibleunder the schools criteria to undertake the activities authorized by Illinois Supreme Court Rule 711. The above named student is expected to graduate on _____________________ . Date ____________________________________ Dean of Law School SignatureCertified by the above named school this _________ day of ______________ , ___________ . (SCHOOL SEAL) The services authorized by Illinois Supreme Court Rule 711, which I acknowledge I have read, will be performed for me by: Students name Full Name of Agency Agency Address City/State/Zip Code ( ) Agency Telephone Number Supervising Attorneys Name (Must be a member in good standing of the Illinois bar) The Agency indicated above is (check appropriate box): A legal aid bureau, legal assistance program, organization or clinic chartered by the State of Illinois or approved by a law school approved by the American Bar Association The Office of the Public Defender A law office of the state or any of its subdivisions __________________________________________ Dated this ________ day of ___________________ , _________. Supervising Attorneys Signature / I have previously applied for a 711 license: YesStudent Certification (Signature)/Date No For offi ce use only: Approved by : ______________ Date: ______________ Expiration date: ______________ Rev. 2/04
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