Notice Of Appearance Pursuant To Student Practice Order

IN THE UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TENNESSEE ______________________________, Plaintiff v. _______________________________, Defendant ) ) ) ) ) ) ) ) ) Action No. _______________ NOTICE OF APPEARANCE PURSUANT TO STUDENT PRACTICE ORDER _________________________________ Student _________________________________ Address _________________________________ Telephone/Fax ________________________________ Supervising Attorney ________________________________ Address ________________________________ Telephone/Fax 1. CERTIFICATION OF LAW STUDENT I certify that I am duly enrolled in ______________________ law school; that I have completed at least four (4) semesters of law school; that I have knowledge of and will comply with the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure , the Federal Rules of Evidence, the Model Rules of Professional Conduct of the American Bar Association, the Tennessee Code of Professional Conduct, this Court's Local Rules of Practice, and this Court's Website (www.tnwd.uscourts.gov); and that I am receiving no compensation from the party on whose behalf I am rendering services. _________________________________ DATE 2. ________________________________ SIGNATURE CERTIFICATION OF LAW SCHOOL DEAN OR DEAN'S DESIGNEE I certify that this student has completed at least four (4) semesters of law school work, has been or will be enrolling in an approved clinical or externship program at the law school, and is, to the best of my knowledge, of good character and competent legal ability, and adequately trained to perform as an eligible law student under Administrative Order No. 2013-14 of the District Court for the Western District of Tennessee. _________________________________ DATE _________________________________ LAW SCHOOL ________________________________ SIGNATURE ________________________________ POSITION OF ABOVE American LegalNet, Inc. www.FormsWorkFlow.com 3. CERTIFICATION BY LAW STUDENT'S SUPERVISING ATTORNEY I consent to supervise this student in this matter in accordance with Administrative Order No. 2013-14 of the District Court for the Western District of Tennessee. I will carefully supervise all of this student's work. I authorize this student to appear in court or at other proceedings, and to prepare documents for the period ____________________. I will accompany the student at such appearances, sign all documents prepared by the student, assume personal responsibility for the student's work, and be prepared to supplement, if necessary, any statements made by the student to the court or opposing counsel. _________________________________ DATE ________________________________ SUPERVISING ATTORNEY 4. CONSENT OF CLIENT I consent to be represented by student attorney, ________________________, in this matter in accordance with Administrative Order No. 2013-14of the District Court for the Western District of Tennessee. I authorize this student to appear in this matter on my behalf and to prepare court papers under the supervision of law school faculty or adjunct faculty, or other qualified attorneys working in conjunction with the law school clinical practice or externship program pursuant to Administrative Order No. 2013-14 of the District Court for the Western District of Tennessee. I understand that this student, while working under attorney supervision on my behalf, may have access to private and/or confidential information that I disclose as part of the attorney-client relationship. _________________________________ DATE ________________________________ CLIENT 5. JUDICIAL CONSENT I authorize this student to appear in this matter pursuant to Administrative Order No. 2013-14 of the District Court for the Western District of Tennessee, except __________________________________________. ________________________________ United States District Judge 2 American LegalNet, Inc. www.FormsWorkFlow.com