Application For Admission To Practice

UNITED STAT ES DISTRICT COURT FOR THE EAST ER N DISTR IC T OF WISCO NSIN A pplication for Admission to Pract ice NA M E FIRM TEL EPHONE : LAST FIRST M.I. FIRM NAM E FIRM ADDRE SS STREET/SUITE/P.O. BOX CITY STATE ZIPS TA T E BA R NO. FA X NUM BE R : I have been admitted to practice in the following named courts on the dates indicated: Supreme Court of the United States on Highest Court of the State of on U.S. District Court for the District of on U.S. Court of Appeals for the Circuit on Dated: A pplicants Signature: A bove named applicant admitted to practice this day of , Clerk OATH I do solemnly swear that, to the best of my knowledge and ability, I will support and defend the Constitution of theUnited States against all enemies, foreign and domestic, and that I will bear true faith and allegiance to the same; thatI take this obligation freely without any mental reservation or purpose of evasion; and that I will demean myself asA ttorney and Counselor of the United States District Court for the Eastern District of Wisconsin, uprightly and accordingto law. I have read the standards of professional conduct for this district and agree to abide by those standards. A pplicants Signature S ubscribed and sworn to before me this day of , Notarys Signature T itle PR OOF OF E LI G IB ILI TY (for court use only) T he following proof of eligibility was presented to me and found satisfactory: Certificate of Good Standing from dated A ffidavit of dated Oral motion and attestation of dated Clerk