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Form for Admission via Motion in Open Court (Submit this form, a current certificate of good standing (see Rule 83.1(b)(2)(A)(iii)) and the admission fee, no later than9:30 a.m. on the day scheduled for monthly admissions.) Date of Admission: ____________________________ SPONSOR: ____________________________________________________________ Last Name First Name Middle Name APPLICANT: ____________________________________________________________ Last Name First Name Middle Name Address: Firm: ___________________________________________________________ Street: __________________________________________________________ Suite of Room Number: _____________________________________________ City, State and Zip: ________________________________________________ Telephone Number: __________________ Facsimile Number: ___________________ (Include area code) (Include area code) Email Address: _________________________________________________________ Admitted to Practice: ____________________________________________________ (Insert Full Name of Highest State Court) Other Courts in which you are admitted to practice: _____________________________ ______________________________________________________________________ Attorney Pro Bono Appointment Registration Form for Pro Se Cases I am willing to be appointed counsel in the following type of cases: Pro Se Military Pay Cases Other General Jurisdiction Cases that are Pro Se Instructions for Oral Admissions 1. The sponsor's name is called. 2. The sponsor and applicant go up to the rostrum, with the applicant standing to the right of the sponsor. 3. The sponsor moves the admission. 4. After allowance by the Judge, the applicant moves to the right and stands in front of the Clerk of Court. The sponsor returns to his/her seat. 5. After all admissions have been moved, the Clerk will administer the oath en masse, Script for Admission "May it please the court, I move the admission of _________________________, who is a member in good standing of the bar of _________________________, a person of good moral character and qualified under the rules of this court." American LegalNet, Inc. www.FormsWorkFlow.com