Instructions for Applying for General Admission to the United States District Court for the Southern District of IllinoisREAD THESE INSTRUCTIONS CAREFULLY Pursuant to Local Rule 83.1(a), there are two ways an attorney may seek generaladmission to this district court. You may:225Ask a member in good standing of the bar of this court to file a motion onyour behalf which includes the bar number of the member and all state barnumbers issued to you (see Local Rule 83.1(a)(1)); or225File your own motion accompanied by either (1) a Certificate of GoodStanding from a state in which you are licensed together with all state barnumbers issued to you (see Local Rule 83.1(a)(2)); or (2) a copy of a Certificateof Admission to Practice in the Northern or Central District of Illinois (seeLocal Rule 83.1(a)(3)).Once you decide whether another attorney will move for your admission or you willmove on your own for reciprocal admission, complete the appropriate motion(attached), Attorney Admission Questionnaire, AO153 Oath on Admission card(see paragraph 3 below), and Electronic Filing Registration Form. Your admissionpacket, along with the $2.00 admission fee, should be mailed to the Clerk of Courtat either courthouse address. Clerk of CourtClerk of Court750 Missouri Avenue301 W. Main StreetP. O. Box 249Benton, IL 62812East St. Louis, IL 62201Review the attached checklist to ensure you are submitting a complete admissionpacket. 3.You do not need to appear before a judge to be admitted, but if you would like todo so, bring the documents referenced above when you appear before the judge.If you do not appear before a judge, you will need to appear before a Notary Publicto take the prescribed oath. The Notary Public should sign and place the seal onthe attached AO153 card. If you choose to appear before a judge to take the oath, American LegalNet, Inc. www.FormsWorkFlow.com you should make an appointment by contacting one of the following Courtroom Deputy Clerks: Courtroom Deputy Phone Number Judge Courtroom Deputy Phone Number Judge Benton East St. Louis (618) 439-7744 District Judge Staci M. Yandle Tina Gray (618) 439-7724 District Judge J.Phil Gilbert (618) 439-7754 MagistrateJudge 4.When admitted, you will receive a copy of the signed Order, a Certificate ofAdmission, and a receipt for your payment in the mail. The Clerk's Office willprepare the order for the judge's signature; it is not necessary for you to submit aproposed order. You will receive an email with your CM/ECF login and password.Note that the Southern District of Illinois does not assign a separate federal bar number upon general admission. 5.If you need additional information or assistance regarding general admissionprocedures, please visit our website at www.ilsd.uscourts.gov and/or contact the clerk222s office at (618) 482-9371 (East St. Louis) or (618) 439-7760 (Benton). The LocalRules are available on the website or may be purchased from the clerk222s office fora fee. American LegalNet, Inc. www.FormsWorkFlow.com (618) 482-Chief Judge (618) 482-9013 Judge (618) 482- (618) 482-Magistrate Judge Donald G. Wilkerson (618) 482-Magistrate JudgeUNITED STATES DISTRICT COURTfor theSouthern District of Illinois)))))In the Matter of the Admissionto Practice Generally of: MOTION FOR ADMISSION TO PRACTICE GENERALLY1.The undersigned attorney, a member in good standing, moves for the generaladmission of to the United States District Court for the SouthernDistrict of Illinois.2.The applicant for admission resides in (city/state)and is licensed to practice law in the State(s) of . The state bar number(s) issued to applicant are: .3.Movant has known the applicant for (years/months), and knows thats/he exhibits good moral character and general fitness to practice law. Movant recommends theapplicant222s admission to practice law in this district court.Accordingly, movant asks that the court admit to practicegenerally before this court pursuant to Southern District of Illinois Local Rule 83.1(a)(1).Signed on:DateSignature of MovantStreet Address Printed NameCity, State, ZipBar Number of Movant American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURTfor theSouthern District of Illinois)))))In the Matter of the Admissionto Practice Generally of: MOTION FOR RECIPROCAL ADMISSION TO PRACTICE GENERALLY1.The undersigned attorney moves for general admission to the United States DistrictCourt for the Southern District of Illinois. In support of this motion, I have attached the following:Pursuant to Local Rule 83.1(a)(2), a Certificate of Good Standing from the State(s) of where I am licensed to practice law; orPursuant to Local Rule 83.1(a)(3), a copy of my Certificate of Admission in theNorthern or Central District of Illinois.2.The undersigned attorney resides in (city/state) andis licensed to practice law in the State(s) of . The state bar number(s)issued to me are: .Accordingly, I ask to be generally admitted to practice before this court.Signed on:Date Signature of AttorneyStreet Address Printed NameCity, State, Zip American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURTSOUTHERN DISTRICT OF ILLINOISATTORNEY ADMISSION QUESTIONNAIRE1.Full Name:2.Affiliation/Firm Name: 3.Mailing Address: 4.Telephone Number: () Fax Number: () 5.Primary E-mail Address: 6.Secondary E-mail Address: 7.List all federal bar memberships, the date of admission, and your baridentification number, if any.JurisdictionDate AdmittedBar ID Number8.List all state bar memberships, the date of admission, and your bar identificationnumber, if any.StateDate AdmittedBar ID Number United States District CourtApplication for AdmissionSouthern District of IllinoisPage 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 9.List the undergraduate schools you attended and the degrees you received, ifany.Schools AttendedDegrees10.List the law school(s) you attended, the dates of attendance, and the degree youreceived, if any.Law Schools AttendedDegrees11.Have you read and become familiar with:a.the law relating to jurisdiction and venue in aUnited States District Court? Yes Nob.the Federal Rules of Civil Procedure? Yes Noc.the Federal Rules of Criminal Procedure? Yes Nod.the Federal Rules of Evidence? Yes Noe.The Model Rules of Professional Responsibilityof the American Bar Associationor as adopted by the State of Illinois? Yes Nof.The Standards of Professional Conduct withinthe Seventh Circuit? Yes NoUnited States District CourtApplication for AdmissionSouthern District of IllinoisPage 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 12.Have you assisted in the preparation of a civil or Yes Nocriminal case for trial?If so, approximately how many times? Were any of the cases pending in federal court? Yes No13.Have you observed a complete hearing at which testimonywas taken on the merits in a United States District Court? Yes No14.Would you be willing to join our pro bono panel ofvolunteers to represent indigent civillitigants on cases pending in the district? Yes NoApplicant222s Signature: Date:United States District CourtApplication for AdmissionSouthern District of IllinoisPage 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com AO 153 (Rev. 6/96) MODIFIED SOUTHERN DISTRICT OF ILLINOIS (Rev. 3/2011)NAME: (LAST, FIRST, MI) SOCIAL SECURITY NO.OATH ON ADMISSIONI,, DO SOLEMNLY SWEAR(OR AFFIRM) THAT AS AN ATTORNEY AND AS A COUNSELOR OFTHIS COURT I WILL CONDUCT MYSELF UPRIGHTLY AND ACCORD-ING TO LAW, AND THAT I WILL SUPPORT THE CONSTITUTION OFTHE UNITED STATES.DATE:SIGNATURE:BAR I.D. NO.COMPLETE REVERSE SIDEAO 153 (Rev. 6/96) MODIFIED SOUTHERN DISTRICT OF ILLINOIS (Rev. 3/2011)FIRM NAMETEL. NO.FIRM ADDRESSCITYSTATEZIP CODESWORN AND SUBSCRIBED BEFORE ME,DATEADMITTED ON MOTION OF: (Movant) American LegalNet, Inc. www.FormsWorkFlow.com Checklist for Applying for General Admission to the United States District Court for the Southern District of Illinois1.MOTION FOR GENERAL ADMISSION I have enclosed a completed Motion for Admission of Another to Practice Generally; or I have enclosed a Motion for Reciprocal Admission to Practice Generally and all necessaryattachments.2.ATTORNEY ADMISSION QUESTIONNAIRE I have enclosed a complet