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Application For Registration As Law Student (To Committee On Character And Fitness) - Alabama
| Application For Registration As Law Student (To Committee On Character And Fitness) Form. This is a Alabama form and can be used in Alabama Bar Association Statewide . |
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ATTACH PASSPORT PHOTO TO THE COMMITTEE ON CHARACTER & FITNESS OF THE BOARD OF COMMISSIONERS OF THE ALABAMA STATE BAR 5/8 APPLICATION FOR REGISTRATION 2 1 AS A LAW STUDENT ALABAMA STATE BAR 1/2 to (Revised September 2001) Telephone (334) 269-1515 1 415 Dexter Avenue Mail: Admissions, P.O. Box 671 Montgomery, Alabama 36101 2 Photo must have been made within lastATTN: ADMISSIONS OFFICE six months. DO NOT attach snapshots.Pursuant to the provisions of Rule 1 of the Rules Governing Admission to the Alabama State Bar as revised September, 2001, the undersigned does hereby filewith the Secretary of the Board of Bar Commissioners of the Alabama State Bar, written notice of his/her intentions to begin the study of law for the purpose ofthereafter applying for admission to the Alabama State Bar, and request that his/her name be registered in said Secretarys Office accordingly. Answers of theapplicant to questions (1) through (12) inclusive, as required by said Rule, are set out below: 1. STATE TO EACH OF THE FOLLOWING: (a) YOUR FULL NAME (NO INITIALS): Last First Middle Social Security Number Have you ever been known by any other name? . If yes, state facts fully. If change was made by court order, attach a certified copy of such order. (b) Birthdate: Age Place (City, State) (c) Are you a citizen of the United States? Yes or No If no, have you filed a Declaration of Intent to become a citizen? If yes, where when and number? Attach a copy of your Declaration of Intent (Form N-315/Rev. 2-1-71/Y) (d) YOUR PRESENT ACTUAL RESIDENCE AND MAILING ADDRESS: Res: /Bus: STREET ADDRESS Telephone Numbers (Include Area Codes) CITY STATE ZIP CODE (Include 4-digit suffix) (e) YOUR PRESENT LEGAL RESIDENCE: Res: STREET ADDRESS Telephone Numbers (Include Area Codes) CITY STATE ZIP CODE (Include 4-digit suffix) (f) YOUR MARITAL STATUS: Single ( ) Married ( ) Separated ( ) Divorced ( ) Widowed ( ) Remarried ( ) (g) Date of marriage(s) and full name(s) of spouse, if married (h) If separated or divorced (now or previously) attach copies of the Complaint and Final Decree in each instance. <<<<<<<<<********>>>>>>>>>>>>> 2 (i) Your parents names, addresses and occupation: Father: / Res: /Bus: Name Occupation Telephone Numbers Street Address City S tate ZIP CODE Mother: / Res: /Bus: Name Occupation Telephone Numbers Street Address City S tate ZIP CODE 2. Other than Law School, state each preparatory school, college, or university you have attended and dates of attendance: College / from ,19 to , 20 Name Location (City and State) Graduated. Yes or No ( ) Date: , Degree: 3. Law School(s) (attending and/or attended). List all Law Schools you have attended. (a) (b) Name of Law School/Location (City and State) Date Enrolled/Anticipated Date of Graduation (IF JONES LAW SCHOOL, BIRMINGHAM SCHOOL OF LAW, OR MILES COLLEGE OF LAW, see RULE IV, B, OF RULES GOVERNIN G ADMISSION TO THE ALABAMA STATE BAR) (c) Regardless of whether the record has been expunged, cancelled or annulled, or whether no record was made, have you ever been dropped, suspended, warned, placed on scholastic or disciplinary probation, expelled or requested to resign from any school, college or university, or otherwise subjected to discipline by any such school or other institution or requested or advised by any such school or institution to discontinue your studies therein? Yes or No (d) If YES, Please state the cause, circumstances, date of occurrence, and the final disposition of each such occurrence. 4. (a) WORK EXPERIENCE: SINCE YOUR SIXTEENTH BIRTHDAY, STATE WHEN AND WHERE YOU HAVE WORKED, NAMES AND FULL ADDRESSES OF EMPLOYERS, POSITIONS OCCUPIED AND DATES OF EMPLOYMENT (INCLUDE TEMPORARY OR PART-TIME WORK; ALSO INCLUDE ANY LAW CLERKING POSITIONS WHETHER PAID OR UNPAID). ALL PERIODS OF TIME SINCE YOUR SIXTEENTH BIRTHDAY MUST BE COVERED, IF UNEMPLOYED OR A STUDENT, GIVE THE DATES. MONTH/YEAR MONTH/YEAR NAME OF EMPLOYER FULL POSITION REASON FOR FROM TO ADDRESS LEAVING (b) Have you ever been discharged or resigned from any employment after being told that your conduct or work was not satisfactory or that you were suspected of or were under investigation for any wrong-doing?Yes or No If YES, state facts FULLY. <<<<<<<<<********>>>>>>>>>>>>> 35. List on a separate sheet of paper each instance in which you have ever either as a juvenile or adult been served with a criminal summons, questioned, arrested, taken into custody, indicted, charged with, tried for, pleaded guilty to or convicted of, or even been the subject of an investigation concerning the violation of any law. (Include all traffic offenses in your answer except that you need not list parking offenses). No statute, court order or legal proceeding expunging the information required herein from any record, or dismissing, vacating or setting aside any arrest, accusation or conviction, or purporting to authorize any person to deny the existence of such matter shall excuse less than full disclosure. (a) If not applicable, check here. ( )(b) If information is attached, check here.( ) ATTACH A CURRENT DRIVING ABSTRACT FROM THE DEPARTMENT OF PUBLIC SAFTEY 6. Have you ever served in the military service, including any reserve components, of the United States of America? Yes or No (a) If so, Branch? Date and type of discharge (b) While in service were you ever charged with violating the Articles of War or any provision of the Uniform Code of Military Justice? Yes or No If so, state the facts fully on a separate sheet. (c) Attach a copy of your discharge or Form DD/214. 7. In the past 5 years, have you received treatment for a serious nervous, emotional or mental illness which would adversely impact on your ability to practice law? Yes or No If yes, give full explanation 8. Are you now, or have you ever been addicted to or had a problem with, or have you undergone treatment or counseling for the use of narcotics, drugs, or intoxicating liquors? Yes or No (a) If yes, give full explanation (b) If yes, give the full name and address of the doctor(s) counselor(s) who treated you and the institution(s) where you were treated, and the date(s) of such treatment. Disclosure of this information will not automatically disqualify your application for registration as a law student.9. Have you ever been a party or otherwise involved in ANY legal proceedings, civil or criminal (excluding those listed in 1(h) or 5)? Yes or No If yes, please explain. 10. (a) Do you believe in the form of, and are you loyal to, the Governme
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