PROPOSED UNIFORM APPLICATION FOR ADMISSION TO THE BAR
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APPLICATION FOR ADMISSION TO THE BAR AND STATEMENT REQUIRED
PURSUANT TO ARTICLE 94 OF THE CIVIL PRACTICE LAW AND RULES
DIRECTIONS
(Read all these directions carefully before attempting to answer any question.)
TO THE APPELLATE DIVISION OF THE SUPREME COURT OF THE
STATE OF NEW YORK, ________ JUDICIAL DEPARTMENT: ________
The undersigned hereby applies for admission to practice as an attorney and counselor-at-law in all courts of the State of New York, and in support of such application submits the following sworn statement and the accompanying affidavits and other papers:
(First) (Middle) (Last)
Have you ever used or been known by any other name?
________. If so, state in full each name (other than the name above given) which you have used or by which you have at any time been known, the period of, and the reasons for, the use of each such name. (If change of name was made by court order, submit a certified copy of the order; if by marriage, so state.)
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Social Security Number ________.
Age, date, and place of birth.
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Are you a citizen of the United States? ________.
If you are a naturalized or derivative citizen, give the date when and place where naturalization or right to derivative status was acquired, the number of certificate of naturalization, and when submitting papers, exhibit certificate of naturalization or equivalent from any governmental office. (Such certificate will be returned.)
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Present residence (full mailing address).
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Full name of all persons with whom you are presently living, and relationship to you.
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Length of actual residence in the State of New York immediately preceding the submission of this application.
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When, where, and to whom married; give spouse's full name, together with any other name by which spouse has been known. (If married more than once, list marriages chronologically.)
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Do you reside with your spouse? ________. If not, state reasons for separation (if through divorce, annulment or separation, submit certified copy of decree, judgment or order FOR EACH SUCH ACTION.
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The cities and states or countries in which you resided for more than three months from the date of your birth until you first entered high school or its equivalent. (If answer is on information and belief, state source of information.)
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The full and exact address of your residence at the time you first entered high school or its equivalent.
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List below, every permanent and temporary residence you have 'ever had including the present, in the United States or elsewhere, since first entering high school or its equivalent with exact address of each, and the month and year of the beginning and ending of each such residence. (Exclude military addresses, unless off base.)
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Permanent Residences
(List same chronologically beginning with the earliest date. Temporary residences, which are residences away from home for educational, business or other special purposes, are to be listed on next page. Do not interrupt the continuity of the periods of permanent residence by subtracting periods of temporary residence.)
(Continue permanent residences if necessary, and give temporary residences on next page.)
Did you graduate from high school? ________. Date of graduation ________.
If your answer is "Yes" to either (a) or (b), give the name of any such institution and state the circumstances and date of each such occurrence.
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If so, give in detail the nature and location thereof and the month and year of the beginning and ending of your engagement in or connection therewith. If any such business was carried on by you in partnership with others, give the names and addresses of all partners and the nature of the business. If the business was carried on by a corporation in which you held any office state its name, address, nature of the business and your connection with it.
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List any actions now pending against any such firm or corporation in which you now hold any office, and any judgments entered against it during the period of your association with it.
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If so, give the name of each such employer stating date, cause and circumstances of discharge.
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Have you ever engaged in or has your conduct ever been called into question with reference to the unauthorized practice of law? ________
Have you ever been employed by or otherwise connected with any person, firm, or corporation whose conduct was called into question on the subject of unauthorized practice of law while you were so employed or connected?________
Have you ever tried any action or proceeding, argued any motion, drawn legal papers, given legal advice or held yourself out as an attorney or counselor-at- law in this State? ________
If your answer is "Yes" as to any part of this question, state the matter fully.
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If your answer to (a) or (b) is "Yes", state specifically the disposition made of the application or the result of the bar examination. If admitted, state (a) the name and address of each court by which admitted, the date of such admission, the periods of practice and all the office addresses where you have practiced, with the names and addresses of partners, if any, and (b) whether you have ever been reprimanded, disciplined, suspended, or disbarred as an attorney or counselor-at-law, or whether any charges or complaints have ever been preferred against you, and if so, the nature of the charges and their disposition.
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(Applicants admitted in other jurisdictions must submit a certificate of admission and good standing at the Bar of each court to which admitted and a letter from each Grievance Committee, or body entertaining complaints against lawyers, certifying as to whether charges have been filed with such Committee or body against the applicant, and, if so, the substance of charges and the disposition thereof.)
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Have you served in the armed forces (reserves or otherwise) of any country other than the United States of America? ________ If the answer is "Yes", give name of country, inclusive dates of service, and reason for separation from service. (Submit photocopy of each release and discharge).
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testified or been called as a witness in any action, proceeding or investigation to which you were not a party? ________
been ticketed, or summoned, or arrested, or taken into custody, or indicted, or convicted, or tried for, or charged with, or pleaded guilty to, the violation of any law, ordinance, traffic or parking regulation or the commission of any felony or misdemeanor, or been requested to appear before any prosecuting or investigative agency in any matter? ________
(Indicate all such incidents, including proceedings as a juvenile or youthful offender, no matter how minor the infraction or whether guilty or not. Although a conviction may have been expunged from the records by order of court, it nevertheless should be disclosed in the answer to this question.)
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failed to answer on the return date any ticket, summons or other legal process served upon you at any time? ________ If so, was any warrant, subpoena, or further process issued against you as a result of your failure to respond to such legal process? ________
been adjudged an incompetent, or had proceedings brought to have you adjudged an incompetent; or have you been committed to or been a patient in any institution for the care of persons suffering from mental or nervous disorders or drug addiction, drug abuse or alcoholism? ________
been charged with fraud or any other act involving moral turpitude? ________
been a party to or otherwise involved in any action, proceeding or investigation (civil or criminal) not covered by answers to the foregoing subdivisions hereof? ________
If your answer is "Yes" to any subdivision of this question indicate the subdivision and state the facts as fully as possible and give in each case name and locality of court or agency, dates of beginning and termination of action or proceeding, and the judgment or other disposition.
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Are you in default in the performance or discharge of any duty or obligation imposed upon you by any governmental agency or decree or order of any court including alimony and support orders and decrees? ________ If so, state the facts.
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Are you indebted to anyone? ________ If so, list all debts due over 60 days, stating name and address of creditor and amount, date, nature and status of indebtedness.
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Has any person, partnership, corporation or governmental agency ever asserted a claim or demand against you which has not been made the subject of any action or legal proceeding? ________ If so, state the facts and the present status of the matter.
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Have you ever asserted any claim or demand against any person, partnership or corporation, or governmental agency which has not been made the subject of any action or legal proceeding? ________ If so, state the facts and the present status of the matter.
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If your application for such a license was not granted, state the facts.
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Have you ever held a bonded position? ________ If so, specify the nature of position, dates, amount of bond, and whether or not anyone ever sought to recover on your bond or cancel the same?
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If your answer to (a) is in the affirmative, did you, during the period of such membership or association, have the specific intent to further the aims of such organization or group of persons to overthrow or overturn the government of the United States or any state or any political subdivision thereof by force, violence or any unlawful means?
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Can you conscientiously, and do you, affirm that you are without any mental reservation, loyal to and ready to support the Constitution of the United States? ________
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Will you conscientiously endeavor to conform your professional conduct to them? ________
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THE FOLLOWING TWO PARAGRAPHS ARE TO BE COPIED BY THE APPLICANT IN HIS USUAL HANDWRITING IN THE SPACE PROVIDED BELOW:
I understand that this application is a continuing application, and that I must give correctly the information herein sought as of the date of my appearance before the Appellate Division to be sworn in as an attorney and counselor-at-law. I will, therefore, before such appearance, notify the Secretary of the Committee by affidavit as to any change in respect of any matter concerning which information is herein sought.
I will also submit such additional affidavits or papers, and supply such additional information as may be requested.
COPY FOREGOING TWO PARAGRAPHS HERE
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Signature of applicant
(Must conform to name as it appears on Certificate of
State Board of Law Examiners)
STATE OF ________)
) ss.
COUNTY OF ________)
I, ________, being duly sworn, say: I have read the foregoing questions and have fully, truthfully and accurately answered the same. The foregoing answers are true of my own knowledge, except if stated to be made upon information and belief, and as to such answers, I believe them to be true.
Signature of applicant
(Sign as above)
Subscribed and sworn to before me this ________ day of ________,19________
STATE OF NEW YORK APPELLATE DIVISIONS OF THE SUPREME COURT COMMITTEES ON CHARACTER AND FITNESS
INSTRUCTIONS TO APPLICANTS FOR LICENSE AS LEGAL CONSULTANTS
GENERAL INSTRUCTIONS
(Applicable to All Judicial Departments)
Strict compliance with these instructions is required. Incomplete, defective or carelessly prepared papers will occasion delay and may result in the rejection of the application.
Any false statement contained in the applicant's papers, or any failure to disclose any material fact, may result in the denial of the license application; or if the applicant shall have been licensed before the discovery thereof, in the revocation of the applicant's license.
Applicants should read carefully the Rules of the Court of Appeals For the Licensing of Legal Consultants (22 NYCRR Part 521) and the Rules of the Appellate Division relating thereto.
"Prior to taking custody of any money, securities (other than unindorsed securities in registered form), negotiable instruments, bullion, precious stones or other valuables, in the course of his practice as a legal consultant, for or on behalf of any client domiciled or residing in the United States, every person licensed to practice as a legal consultant shall obtain, and shall maintain in effect for the duration of such custody, an undertaking issued by a duly authorized surety company, and approved by a Justice of this court, to assure the faithful and fair discharge of his duties and obligations arising from such custody. The undertaking shall be in an amount not less than the amount of any such money, or the fair market value of any such property other than money, of which the legal consultant shall have custody, except that this court may in any case in its discretion for good cause direct that such undertaking shall be in a greater or lesser amount. The undertaking or a duplicate original thereof shall be promptly filed by the legal consultant with the clerk of this court."
Questionnaire verified by applicant.
Certificate of admission and good standing in the foreign country.
Letter of recommendation.
Affidavits of character.
Affidavits as to legal practice.
College and law school certificates.
Any other papers applicant is required or desires to submit.
Filing Offices
First Judicial Department Secretary, Committee on Character and Fitness
Appellate Division, First Department
41 Madison Avenue
New York, New York 10010
Second Judicial Department Secretary, Committee on Character and Fitness
Appellate Division, Second Department
185 Montague Street
Brooklyn, New York 11201
Third Judicial Department Clerk
Appellate Division, Third Department
Justice Building
Albany, New York 12223
Fourth Judicial Department Clerk
Appellate Division, Fourth Department
501 Hall of Justice
Rochester, New York 14614
SPECIAL INSTRUCTIONS
Summary Statement -- The applicant should submit with his other papers a Summary Statement on the form provided for that purpose.
Manner of Submission of Papers -- All papers must be submitted personally at the Appellate Division Court House, 25th Street and Madison Avenue, Room 101, New York, N. Y., except that the papers may be submitted by mail if the applicant is under military or other demanding circumstances which preclude personal submission.
Manner of Submission of Papers -- All papers must be submitted to the appropriate filing office of the Appellate Division, noted above, personally or by mail.
SUPREME COURT OF THE STATE OF NEW YORK
APPELLATE DIVISION: ________ JUDICIAL DEPARTMENT
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IN THE MATTER OF THE APPLICATION
of
Affidavit of
Good
Moral
Character
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for License as a Legal Consultant
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STATE OF ________)
) ss.
COUNTY OF ________)
________, the affiant, being duly sworn, deposes and says in answer to the following:
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(Signature of Affiant)
Sworn to before me this
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Notary Public
(Affix Notarial Stamp or Seal)
(If affidavit is sworn to outside the State of New York, attach clerk's certificate attesting to authority of notary public.)
SUPREME COURT OF THE STATE OF NEW YORK
APPELLATE DIVISION: ________ JUDICIAL DEPARTMENT
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IN THE MATTER OF THE APPLICATION
of
Affidavit as to
Legal Practice
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for License as a Legal Consultant
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COUNTRY OF ________)
) ss.
CITY OF ________)
________, the affiant, being duly sworn, deposes and says in answer to the following: sworn, deposes and says in answer to the following:
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Office address of affiant:
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When were you so licensed?
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Where and by whom were you licensed?
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In what court or courts of what country or countries are you entitled to practice?
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How long have you actively practiced?
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State generally the nature of such practice:
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The duration (giving dates and continuity) of applicant's practice.
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The nature, character and extent of applicant's practice.
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Whether applicant has always been in good standing as an attorney or counselor at law or the equivalent in such country or countries.
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(signature of affiant)
Sworn to before me this
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(Attesting Officer to sign here)
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(Official designation)
(If affidavit is sworn to outside the State of New York, attach certificate of attesting officer's authority.)
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English Translation. If this affidavit is not in English, it must be accompanied by a duly authenticated English translation.
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. V, Proposed uniform application for admission to the bar