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Application For Admission - And Addendum - Vermont
| Application For Admission - And Addendum Form. This is a Vermont form and can be used in District Court Federal . |
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APPLICATION FOR ATTORNEY ADMISSION First Name: Last Name: If appropriate, check one: Sr. Jr. II Middle Name (or initial): SS #: III Other - - Firm Name (if applicable): Firm Address: City: Firm Phone: State: Fax: Zip Code: I have complied with all applicable provisions of Local Rule 83.1 and have been admitted to practice in and am now in good standing before the following named courts: My Sponsor is . I do solemnly swear (or affirm) that I will act as an ATTORNEY AND COUNSELOR of this Court, uprightly and according to law; and that I will support the Constitution of the United States. I declare under penalty of perjury that this foregoing is true and correct. (Attorney Signature) Subscribed and sworn to before me this day of , 20 . (Deputy Clerk) COURT USE ONLY Place of Admission: Burlington Brattleboro Rutland Date of Admission: Judge: CR Receipt #: W KS JGM JM C Rule Book: (Proceed to Attached Addendum) L.R. 83.1 Compliance: ________________________ American LegalNet, Inc. www.FormsWorkFlow.com ADDENDUM TO APPLICATION FOR ADMISSION Name: (First) (Middle) (Last) (1) I am willing to be contacted to represent indigent plaintiffs in civil cases: Yes No If Yes, type of cases preferred: Prisoner - Conditions of Confinement Prisoner - Habeas Corpus Employment Discrimination Social Security Other (please specify): (2) I am willing to represent indigent parties in bankruptcy-related matters: Yes No (3) I would like to be considered for admission to the Court's standing Criminal Justice Act (CJA) Panel. Yes No (Note: separate requirements as per CJA Plan) (Rev. 05/2011) American LegalNet, Inc. www.FormsWorkFlow.com
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