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Application For Admission - Texas
| Application For Admission Form. This is a Texas form and can be used in Western District District Court Federal . |
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IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS APPLICATION FOR ADMISSION Instructions: Type or print your answers. Answer all questions f ully. If the question does not apply to you, answe r "NA". A nincomplete res ponse will delay processing of your application. Where the space provided is insufficient, answer on additional sheets, with reference to the question. 1. (a) Full Name (Last) (First) (Middle) (b) If you have ever been known by any other name, state the name and the reason for using it: (c) Your name as you wish it to appear on the register: 2. (a) Date of birth: (b) Place of birth: (c) If not native born, give date and place of naturalization: 3. Business Name: 4. Business Address: Zip Code 5. Business Telephone: ( ) 6. Residence Address: Zip Code 7. Residence Telephone: ( ) <<<<<<<<<********>>>>>>>>>>>>> 2 1 8. Social Security Number: 9. State Bar I.D. Number: (Specify state if other than Texas) 10. List states, federal possessions and territories in which you have been admitted to practice law by the hi ghe st court. Indicate the year admitted, status and areas of certified specialization. State Year Admitted Current Standing Specialization 11. List federal courts to which you have been admitted. Indicate the year admitted and current status. Court Year Admitted Current Standing 12. List your law school, the date of graduation, and the degree received. If yo u did not graduate from a law school, please describe your law study in detail. 1 Attorneys are requested to provide their Social Security Number in order to assist the court in maintaining the integrity of its records. <<<<<<<<<********>>>>>>>>>>>>> 313. Indicate any grievances or involuntary removals filed against you as a lawyer. Describe the circumstances in detail. 14. Describe in detail charges, arr est s, or convictions for criminal offenses(s). Omit minor traffic offenses. ANSWER THE FOLLOWING QUESTIONS "YES" OR "NO" IN THE BLANK PROVIDED; IF "YES", EXPLAIN FULLY ON A SEPARATE SHEET. 15. (a) Have you ever been denied admission to the bar of any State (including the District of Columbia) or any federal court? (b) Have you ever been disbarred, suspended from practice, reprimanded, censured or otherwise disciplined or disqualified as an attorney? (c) Has any adverse actio n, formal or informal, been taken against you or your license to practice law by any grievance committee, court, or other disciplinary body or committee? 16. Have y ou eve r held a bonded position in connection with which anyone has sought to recover on your bond, or made a claim for any alleged default? 17. In connection with questions 17(a) through (c) , th e detailed explanation of any affirmative answers shall include dates, exact name and address of th e court, if any, the case number, and disposition. (a) Have you ever been charged with any violation of any law, other than minor traffic violations? <<<<<<<<<********>>>>>>>>>>>>> 4 (b) Have you ever be en c harged with fraud, formally or otherwise, in any civil, criminal, bankruptcy, or administrative case or proceeding? (c) Have you ever been denied a discharge in bankruptcy, or had your discharge in bankruptcy revoked? 18. Are there any unsatisfied judgments against you, whether barred by limitation or not? ( If so, give names and addresses of creditors, amou nts , dates and nature of judgments, courts, and reasons for non-payment.) 19. I swear that the information provi ded in the foregoing application including attachments, if any, is true and correct. I acknowledge that by accepting admission to this Court I am subjecting myself to the discipline of this Court. I further certify that I have read and am familiar with the Federal Rules of Civil Procedure and Local Rules of this court and alternative dispute resolution procedures of the Western Dist ric t of Texas and will advise clients in any actions pending in this court regarding alternative dispute resolution procedures. I further certify, if requested, I am willing to appear before this court or any Committee appointed to test the qualifications of applicants for admission to practice before this Court. I declare under penalty of perjury that the foregoing is true. Date Signature SUBSCRIBED AND SWORN TO BEFORE ME THIS day of 20 , at . (SEAL) Notary Public or Deputy Clerk of this Court.
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