COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. IN THE SUPREME COURT OF IOWA : Calendar No. APPLICATION FOR THE IOWA BAR EXAMINATION : JUDICIAL SUBPOENA Plaintiff(s) The contents of this application will be public information subject -againstto the limitations of Iowa Code section 602.10141. : : This application MUST be on file with the Clerk of the Iowa Supreme Court no later than March 1 preceding the July examination or October 1 preceding the February examination. There will be NO : exceptions to this requirement. See Court Rule 31.5. Defendant(s) : .. ........... ...... .. ........... .. .... .. .... Type .all .information. . .Staple .all .attachments. to .back. of .form. File completed form with the Clerk of Supreme Court, 1111 East Court Avenue, Des Moines, IA 50319. Enclose for examination fee a check or money order for $325.00 payable to Clerk of Supreme Court. This fee is not refundable. All applicants MUST review the notes on the last page of this form. THE PEOPLE OF THE STATE OF NEW YORK TO 1. - SECTION A (To be completed by ALL applicants) DATE OF BAR EXAMINATION FOR WHICH YOU ARE APPLYING ___________________ Month and Year GREETINGS: 1A. DO YOU ELECT TO TRANSFER AN MBE SCALED SCORE FROM ANOTHER JURISDICTION OR BANKCOMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (rely upon) AN MBE SCORE FROM A PREVIOUS IOWA EXAM? ___________ THE WE MBE SCORE MUST HAVE BEEN RECEIVED FROM AN EXAMINATION TAKEN WITHIN TWO the Honorable THE CURRENT APPLICATION DEADLINE. Court score must be requested by the , at the YEARS OF The County of and certified from located at jurisdiction or the National Conference of Bar Examiners by applicant the other inthe current application deadline, March ,1 preceding the July in the room , on the day of 20 , at o'clock examination or by any recessed noon, and at October 1 orprecedingdate, to testify and give evidence as a witness in this action on the part of transmitted:_________. adjourned the February examination. MBE score you expect to have the Administering Jurisdiction: ___________________________ Date taken: __________________ See Court Rule 31.4. 2. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to FULL NAME ___________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Last First Middle 3. 4. result of your failure to comply. NAME AS IT SHOULD APPEAR ON CERTIFICATE OF ADMISSION TO THE IOWA BAR _____________________________________________ Witness, Honorable , one of the Justices of the Court in County, day of , 20 MAILING ADDRESS ____________________________________________________________ Street Address or P.O. Box Number ___________________________________________________________ (Attorney must sign above and type name below) City, State and Zip Code County 5. RESIDENCE ADDRESS _________________________________________________________ Attorney(s) for Street Address or P.O. Box Number ________________________________________________________ City, State and Zip Code County How long have you lived at this address? ___________________________________________ Office and P.O. Address 6. TELEPHONE NUMBER ___________________________ _____________________________ Residence Work Telephone No.: Providing your social security number is voluntary, pursuant to the Federal Privacy Act of 1974. Facsimile No.: However, providing your social security number assists in expediting the character review process. E-Mail Address: Your social security number will be used for purposes of investigation and verification, so as to Mobile Tel. delays into the certification and avoid errors of identity which might introduce problems and No.: licensure process. American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. 7. SOCIAL SECURITY NUMBER _________________________ 8. DRIVER'S LICENSE _________________________________________9. AGE __________ State Number : : Calendar No. JUDICIAL SUBPOENA Plaintiff(s) 10. BIRTH DATE __________________11. BIRTHPLACE ______________________________ -against: 12. CITIZENSHIP: Of which country are you a citizen? : _________________________________ 13. FATHER'S NAME ____________________________________ : 14. FATHER'S RESIDENCE ADDRESS _____________________________________________ Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .City. and. State ... ... . How long has he lived at this address? ___________________________________________ 15. MOTHER'S NAME ____________________________________ THE PEOPLE OF THE STATE OF NEW YORK 16. TO MOTHER'S RESIDENCE ADDRESS ____________________________________________ City and State How long has she lived at this address? __________________________________________ 17. OTHER NAMES: Since age 18, have you ever used or been known by any name other than that given above (because of marriage, formal name change, etc.)? ____________ GREETINGS: If YES, list in full each other name used, the dates you used it, and the reason you used it. If WE COMMAND YOU, changed (in a judicial or being laid aside, you and each of you attend before your name was formallythat all business and excuses naturalization proceeding), ATTACH a copy , the Honorablename change order. at the Court of the located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed __________________________________________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the __________________________________________________________________________ 18. PREVIOUS RESIDENCE ADDRESSES: List every residence address you have had since Your other than your current one. Give the dates you lived of each address. age 18 failure to comply with this subpoena is punishable as a contempt at court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a STREET to comply. CITY AND STATE FROM MO/YR TO MO/YR result of your failure AND NUMBER _________________________ __________________ __________________________ Witness, Honorable , one of the Justices of the Court in County, day of , 20 _________________________ __________________ __________________________ _________________________ __________________ __________________________ (Attorney must sign above and type name below) _________________________ __________________ __________________________ _________________________ __________________ __________________________ Attorney(s) for _________________________ __________________ __________________________ _________________________ __________________ __________________________ Office and P.O. Address _________________________ __________________ __________________________ _________________________ __________________ __________________________ Telephone No.: Facsimile No.: E-Mail Address: _________________________ __________________ __________________________ Mobile Tel. No.: _________________________ __________________ __________________________ -2- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : 19. MARITAL STATUS: Married _____ Single _____ : Index No. Calendar No. If you are married, give the date of your marriage, the place of the marriage and the name of your spouse. : JUDICIAL SUBPOENA Plaintiff(s) __________________________________________________________________________ -against: __________________________________________________________________________ : __________________________________________________________________________ : 20. EDUCATION: List all law schools you have ever attended whether or not you received any Defendant(s) : . .credit.. .Begin. with .the. law. school .you. are .currently .attending. ..... ..... .... .. ... ...... ... ... ........ ... CREDIT/DEGREE RECEIVED OR TO BE RECEIVED LAW SCHOOL DATES ATTENDED THE PEOPLE OF THE STATE OF NEW YORK DATE OF DEGREE (MONTH/YEAR) _______________ ______________________ __________________ __________________ TO _______________ ______________________ __________________ __________________ _______________ ______________________ __________________ __________________ GREETINGS: _______________ ______________________ __________________ __________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable school you are currently attending fully accredited by the American Bar at the Court Is the law located at County of Association? _____ in room , on the day of , 20 , at o'clock in the noon, and at any recessed orList all colleges and universities you have ever attended (other than of the adjourned date, to testify and give evidence as a witness in this action on the part the law schools listed above) whether or not you received any credit. COLLEGE OR DATES Your failure and will make you liable UNIVERSITYto comply with this subpoena is punishable as a contempt of court CREDIT/DEGREE to MAILING ADDRESS ATTENDED _____________________ ___________________ ________________ all damages sustained the party on whose behalf this subpoena was issued for a maximum penalty of $50 and ______________ as a result of your failure to comply. _____________________ ___________________ ________________ ______________ Witness, Honorable , one of the _____________________ ___________________ ________________ Justices of the ______________ Court in County, day of , 20 _____________________ ___________________ ________________ ______________ List all high schools you have ever attended whether or notmust sign above and type name below) you received a diploma. (Attorney HIGH SCHOOL MAILING ADDRESS DATES ATTENDED DIPLOMA RECEIVED Attorney(s) for _________________ _______________________ _____________________ __________ _________________ _______________________ _____________________ __________ Office and P.O. Address _________________ _______________________ _____________________ __________ _________________ _______________________ _____________________ __________ -3- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : 21. Index No. EMPLOYMENT OTHER THAN PRACTICE OF LAW: List all full-time and part-time : permanent and temporary employment, self-employment and associations with businesses Calendar No. and professionals you have had since age 18. Exclude the practice of law, but include employment as a law clerk, etc. : JUDICIAL SUBPOENA Plaintiff(s) FROM TO (MO/YR) EMPLOYER'S NAME -against- & MAILING ADDRESS NATURE OF : BUSINESS POSITION REASON FOR LEAVING : _____ _____ _______________________ ____________ ____________ _______________ _______________________ : _____ _____ _______________________ ____________ ____________ _______________ Defendant(s) : . . . . . . . . . . . . . . . . . . ._______________________. . . . . . . . ........................... _____ _____ _______________________ ____________ ____________ _______________ _______________________ THE PEOPLE OF THE STATE OF NEW YORK TO _____ _____ _______________________ ____________ ____________ _______________ _______________________ _____ _____ _______________________ ____________ ____________ _______________ _______________________ GREETINGS: _____ _____ _______________________ ____________ ____________ _______________ _______________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable at the 22. JUDICIAL AND ADMINISTRATIVE PROCEEDINGS: Courtevery judicial proceeding (except , List located at County of criminal and dissolution of marriage) and every administrative proceeding to which you are or in room on the day of 20 , at noon, and at ATTACH a have ever ,been a party. NONE_____. ,If you have ever o'clock inbankruptcy, please any recessed filed for the or adjourned date,thetestify and give evidence as a witness in this action on the part of thePlaintiff, Petitioner, copy of to petition and discharge order. Specify if you were Complainant, Defendant or Respondent. DATES OF COURT/AGENCY TYPE Your failure to PROCEEDING comply with thisLOCATION AND subpoena is punishable as a contempt of court and will make you liable to PROCEEDING DISPOSITION the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a _____________ ________________________ _________________ __________________ result of your failure to comply. _____________ ________________________ _________________ __________________ Witness, Honorable , one of the Justices of the Court in County, day of , 20 _____________ ________________________ _________________ __________________ 23. MULTISTATE PROFESSIONAL RESPONSIBILITY EXAMINATION: Have you passed the Multistate Professional Responsibility Examination administered by the National Conference (Attorney must sign above and type name below) of Bar Examiners with a scaled score of at least 80? _____ If YES, have you filed the results with the Clerk of Supreme Court pursuant to Court Rule 31.3 _____ If YES, give the date of test _________and scaled score ______. If NO, give the date you plan on taking it. _____________ Attorney(s) for THIS IS A REQUIREMENT TO TAKE THE EXAM. MPRE scores shall only be accepted for three years after the date the MPRE is taken. See Court Rule 31.3. 24. Office and P.O. Address LAW STUDENT REGISTRATION: Have you filed a law student registration pursuant to Court Rule 31.2? _____ If YES, give the approximate date of filing. _________________ 25. TYPING THE BAR EXAMINATION: Do you intend to type your bar examination answers? Telephone No.: _____ (Applicants who wish to type their answers must provide their own non-memory Facsimile No.: typewriters. Paper will be furnished.) -4- E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : - SECTION B - Index No. (To be completed ONLY by applicants: whoCalendar No. have been admitted to practice in another jurisdiction) 26. : JUDICIAL which you have been Plaintiff(s) ADMISSION TO PRACTICE: List all jurisdictions, state and federal, inSUBPOENA admitted to practice and give the date of admission to:each. -against__________________________________________________________________________ : __________________________________________________________________________ : __________________________________________________________________________ Defendant(s) : ...................................................... Applicants admitted in other jurisdictions MUST submit from each state a current certificate of good standing. Normally the Clerk of Supreme Court in the admitting jurisdiction can provide this. The certificates must be on file no later than 60 days prior to the examination. 27. THE PEOPLE OF THE STATE OF NEW YORK PRACTICE OF LAW: List each period of employment in the practice of law since you were first admitted to practice in any jurisdiction, including temporary and part-time work. NONE _______. TO PARTNERS, ASSOCIATES OR PERSONS FROM TO FIRM NAME AND SHARING OFFICE SPACE GREETINGS: MO/YR MO/YR MAILING ADDRESS AND MAILING ADDRESS NATURE OF PRACTICE/ EXTENT OF DUTIES REASON FOR LEAVING _____ WE COMMAND YOU, that all business and excuses being laid aside, you and each of__________ _____ _________________ _____________________ ____________ you attend before the Honorable at the Court _________________ _____________________ ____________ __________ , located at County of in_____ _____ _________________ _____________________ ____________ and at any recessed room , on the day of , 20 , at o'clock in the noon, __________ _________________ as a witness in this action on the part of the _____________________ ____________ __________ or adjourned date, to testify and give evidence _____ _____ _________________ _____________________ ____________ __________ _________________ _____________________ ____________ __________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to _____ _____ _________________ _____________________ of $50 and all damages sustained the party on whose behalf this subpoena was issued for a maximum penalty ____________ __________ as a result of your failure _________________ _____________________ ____________ __________ to comply. _____ _____ _________________ _____________________ ____________ __________ Witness, Honorable , one of the Justices of the _________________ _____________________ ____________ __________ Court in 28. County, day of , 20 LEGAL REFERENCES: Give the names and mailing addresses of three attorneys and two clients who know you well, but are not listed elsewhere on this form. (Attorney must sign above and type name below) __________________________________________________________________________ __________________________________________________________________________ Attorney(s) for __________________________________________________________________________ __________________________________________________________________________ Office and P.O. Address __________________________________________________________________________ -5- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : - SECTION C: CONFIDENTIAL - Index No. (To be completed by ALL applicants) : Calendar No. 29. DISABILITY STATUS: Do you have any disability for which you are requesting reasonable testing : JUDICIAL SUBPOENA Plaintiff(s) accommodations? _____ If YES, you will need to request an ELIGIBILITY QUESTIONNAIRE FOR REASONABLE ACCOMMODATIONS (Form A) from the Clerk of Supreme Court. You will -against: need to complete the form and provide supporting documents as requested within 21 days following the date the form was mailed to you. : 30. Have you ever been required to make child support or alimony payments? _____ Have you ever : been more than 30 days past due in the payment of any child support obligation or alimony (spousal maintenance) obligation? _____ If YES, what is the status of your compliance with the Defendant(s) : . .child .support . . .alimony.order? . What .is .the. name. and last known mailing address of your former . . . . . . . . . . . or . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . spouse(s)? If you answer yes to any of the above questions, list details, giving names and addresses, amounts, dates and the reason for nonpayment. __________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK __________________________________________________________________________ TO __________________________________________________________________________ 31. GREETINGS: Are there any unsatisfied judgments against you? _____ If YES, list details, giving names and addresses of creditors, amounts, dates and the nature of debts or judgments, and the reason for WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before nonpayment. , the Honorable at the Court located at County of __________________________________________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed or__________________________________________________________________________ adjourned date, to testify and give evidence as a witness in this action on the part of the __________________________________________________________________________ __________________________________________________________________________ to Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a 32. result of you ever been formally or informally investigated, reprimanded, disciplined, discharged or Have your failure to comply. asked to resign by an employer or educational institution for misconduct including: , one of the Justices of _____ the a. actsWitness, Honorable of dishonesty, fraud or deceit; Courtlying on a resume or misrepresentation; , 20 County, day of b. in _____ c. academic misconduct, including such acts as cheating or plagiarism; _____ d. misconduct involving student activities; _____ (Attorney must sign above and type name below) e. theft; _____ f. excessive absences; _____ g. failure to complete assignments in a timely manner; _____ h. actions in disregard for health, safety and welfare of others; _____ Attorney(s) for i. discrimination or harassment based upon sex, religion, age, disability, race, national or ethnic origin; _____ j. neglect of financial responsibilities; _____ k. conduct related to the use of alcohol or any other drug in the last ten years? _____ Office and P.O. Address If the answer to any of the above is yes, please set forth the specifics, including date of the action, by whom taken, the name and address of the employment supervisor or academic advisor Telephone No.: involved, if applicable, and any person involved in the investigation of your conduct. -6- Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : _________________________________________________________________________ Index No. __________________________________________________________________________ : Calendar No. __________________________________________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) __________________________________________________________________________ -against: 33. MILITARY SERVICE: Are you now or have you ever been a member of the United States Armed : Forces (including the reserve components and the national guard)? _____ If YES, give the branch of service and the period of active duty. : __________________________________________________________________________ Defendant(s) : ...................................................... __________________________________________________________________________ __________________________________________________________________________ 34. THE PEOPLE OF THE STATE OF NEW YORK As a member of the armed forces, have any charges ever been made or any proceedings been instituted against you (court martial, etc.)? _____ If YES, give complete details below (or on an TO ATTACHED sheet), including the date, the charge, the disposition of the matter and the location and designation of the military establishment where the proceedings took place. __________________________________________________________________________ GREETINGS: __________________________________________________________________________ 35. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before the Honorable at the Court __________________________________________________________________________ , located at County of discharge other, than an honorable discharge from the armed forces? inHave you ever, received a day of room on the 20 , at o'clock in the noon, and at any recessed _____ If YES, to testify and give evidence as a witness in this action on thesheet),the give complete details below (or on an ATTACHED part of including the reason for or adjourned date, discharge, and ATTACH a copy of the other-than-honorable discharge. __________________________________________________________________________ 36. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to __________________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. CRIMINAL PROCEEDINGS: Have you ever been arrested, cited for or charged with a crime or a delinquent act? ________ If YES, ATTACH a complete and detailed explanation of each Witness, Honorable , one of the Justices of nature of the occurrence including the date of the arrest or charge, the arresting agency, the the Court in the name and location ofof court and the disposition. County, day the , 20 charge, NOTE: Disclose EVERY occurrence (even if the charge was dismissed, the judgment was deferred or the record was sealed or expunged, etc.), including any scheduled traffic violations (Attorney must sign above and type name below) except those involving parking. 37. Are you currently, or have you been in the last three years, engaged in the illegal use of drugs? _____ If YES, give complete details below (or on anAttorney(s) for sheet). ATTACHED __________________________________________________________________________ __________________________________________________________________________ Office and P.O. Address "Illegal Use of Drugs" means the use of controlled substances obtained illegally as well as the use of controlled substances which are not obtained pursuant to a valid prescription or taken in the Telephone No.: accordance with the directions of a licensed health care practitioner. Facsimile No.: "Currently" does not mean on the day of, or even theE-Mail Address: weeks or months preceding the completion of this application. Rather, it means recently enough so that No.: condition or impairment may Mobile Tel. the have an ongoing impact. American LegalNet, Inc. -7www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. You have a right to elect not to answer those portions of the above questions which inquire as to the illegal use of controlled substances or activity you have reasonable cause to believe that : Calendar No. answering may expose you to the possibility of criminal prosecution. In that event, you may assert the Fifth Amendment privilege against self-incrimination. Any claim of the Fifth Amendment : JUDICIAL SUBPOENA privilege must be made in good faith. Plaintiff(s) If you choose to assert the Fifth Amendment privilege, you must do so in writing.-againstYou must fully respond to all other questions on the application. Your : application for licensure will be processed if you claim the Fifth Amendment privilege against self-incrimination. : 38. FRAUD: Have you ever, under any circumstances not explained elsewhere on this form, been : accused of fraud? _____ If YES, give complete details below (or on an ATTACHED sheet), including the dates. Defendant(s) : ...................................................... __________________________________________________________________________ __________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK __________________________________________________________________________ 39. TO Do you have any condition or impairment that currently impairs your ability to practice law? _____ If YES, please set forth the specifics, including dates, the name and the address of treating physician or mental health counselor. GREETINGS: __________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before __________________________________________________________________________ , the Honorable at the Court located at County of __________________________________________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed or__________________________________________________________________________ adjourned date, to testify and give evidence as a witness in this action on the part of the __________________________________________________________________________ "Condition or impairment" means any physiological, mental contempt of court and will make you liable to Your failure to comply with this subpoena is punishable as a or psychological condition, impairment orparty on whose behalf this subpoena wasand alcoholism. disorder, including drug addiction issued for a maximum penalty of $50 and all damages sustained as a the result of your failure to comply. "Ability to Practice Law" is to be construed to include the following: , skills such as problem a. TheWitness, Honorable to undertake fundamental lawyering one of the Justices of the solving, cognitive capacity Court legal analysis and reasoning, legal research, factual investigation, organization and in County, day of , 20 management of legal work, making appropriate reasoned legal judgments and recognizing and resolving ethical dilemmas, for example. b. The ability to communicate legal judgments and (Attorney must sign above and type name below) attorneys, legal information to clients, other judicial and regulatory authorities with or without the use of aids or devices; and c. The capability to perform legal tasks in a timely manner. for Attorney(s) The Board understands that mental health counseling or treatment is a normal part of many persons' lives and such counseling or treatment does not of itself disqualify an applicant from the practice of law. Furthermore, the Board does not wish to pry into the private affairs of applicants. However, the Board is obligated by the Supreme Court of Iowa's rules governing admission to the Office and P.O. Address Bar to determine whether an applicant is physically and mentally fit to practice law, and therefore, must inquire into such matters to the extent necessary to make such determination. The Board is not seeking disclosure of counseling or treatment for a dramatic or upsetting event such as death, Telephone event does affect the applicant's break-up of a relationship or a personal assault, even if suchNo.: Facsimile No.: ability to practice law for a limited time. -8- E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com 40. COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. CHARACTER: Have you ever been prohibited from applying for, or applied for but been denied, a position, certificate, or license which required proof of good character? _____ Have you ever held : Calendar No. a position, certificate or license which required proof of good character but been removed from the position or had the certificate or license suspended or:revoked? _____ If you answered YES to JUDICIAL SUBPOENA either of the foregoing two questions,Plaintiff(s) give complete details below (or on an ATTACHED sheet), including the date, the-against-and mailing address of the issuing agency, and the reasons for the name : action. If there was a suspension or revocation order, ATTACH a copy. : __________________________________________________________________________ : __________________________________________________________________________ Defendant(s) : . .__________________________________________________________________________ .................................................... 41. PREVIOUS APPLICATIONS FOR ADMISSION TO THE BAR: Have you ever before applied for admission to the bar or for permission to take the bar examination in Iowa or any other state or jurisdiction? _____ If YES, give the date THE PEOPLE OF THE STATE OF NEW YORK of each application, the state or jurisdiction to which applied and the disposition of the application, including the dates and results of any bar examination taken. All applications must be listed, even if the application was withdrawn prior to TO the disposition. __________________________________________________________________________ GREETINGS: __________________________________________________________________________ 42. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before __________________________________________________________________________ , the Honorable at the Court County of TAX RETURNS: located at INCOME Have you filed federal and state income tax returns for any and all inyears when your income warranted such filings?, _______o'clock in the room , on the day of , 20 at noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: -9- American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : - SECTION D: CONFIDENTIAL – Index No. (To be completed ONLY by applicants: whoCalendar No. have been admitted to practice in another jurisdiction) Plaintiff(s) 43. : JUDICIAL SUBPOENA LEGAL DISCIPLINE:-against- you ever been disbarred, suspended from practice, reprimanded, Have : censured or otherwise disciplined? ______ Have any complaints or charges, formal or informal, ever been made or proceedings instituted against you?:______ Have you ever appeared, formally or informally, before a grievance or other similar committee of any bar association or other law group? ______ : If you answered YES to any of the foregoing three questions, give full details, including the date of Defendant(s) : . .the. . . . . . . . . the. nature .of. the. charge, .the .facts, . . . . disposition of the matter and the name and . . charge, . . . . . . . . . . . . . . . . . . . . . . . . . . . . the . . . mailing address of the person in possession of the records thereof. __________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK __________________________________________________________________________ TO __________________________________________________________________________ __________________________________________________________________________ GREETINGS: __________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before __________________________________________________________________________ , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address 8-20-2003 -10- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : - SECTION E - Index No. (To be completed by ALL applicants) : Calendar No. Plaintiff(s) STATE OF _________________________) ) SS: -againstCOUNTY OF ________________________) : JUDICIAL SUBPOENA : : Under penalty of perjury, I do hereby make the foregoing application. I have read the questions and have answered them completely and truthfully. I have not: omitted any information that might have a bearing on my application. Defendant(s) : ...................................................... ___________________________________________ Applicant's Signature THE PEOPLE OF THE STATE OF NEW YORK TO Sworn to and subscribed before me this _____ day of _______________, 20 ____. GREETINGS: ____________________________________________ Notary Public for WE COMMAND YOU, that all business and__________________________________ before State of excuses being laid aside, you and each of you attend (Notary Seal) , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address -11- Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : AFFIDAVIT OF INTENT TO PRACTICE LAW IN IOWA Index No. STATE OF ___________________) ) SS: Plaintiff(s) COUNTY OF __________________) -against- : Calendar No. : JUDICIAL SUBPOENA : The undersigned, being first duly sworn on oath, does hereby depose and state that it is my : intention, in the event I successfully pass the Iowa State Bar examination, to practice law in the State of Iowa. For the information of the Board, I state that the following is a statement of my intentions in this : regard: Defendant(s) : ________________________________________________________________________ ...................................................... ________________________________________________________________________ (Set out facts that OF THE STATE OF NEW YORKintent to practice law in Iowa. Specific facts and details THE PEOPLE will sustain establishment of are required rather than mere conclusions. Attach additional statement if necessary.) TO Persons who can verify my intentions are: 1. _______________________________2. __________________________________ GREETINGS: _______________________________ _______________________________ WE COMMAND YOU, that all business __________________________________ _______________________________ and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of (Include MAILING address and short explanation as to why they are qualified to verify your intent.) in room , on the day of , 20 , at o'clock in the noon, and at any recessed agree to furnish such give evidence as a witness may be required by the orI adjourned date, to testify and further information as in this action on the part ofthe Iowa Board of Law Examiners to complete its investigation. I understand that if the Board of Law Examiners permits me to take the bar examination, I will not be sworn in as a lawyer to comply withto practice as a lawyer in Iowa until after I havewill make you liable to Your failure or admitted this subpoena is punishable as a contempt of court and demonstrated my intentthe party on whose behalf this subpoena waspurpose, Iahereby designate the Clerkall damages sustained as a to practice law in Iowa. For the latter issued for maximum penalty of $50 and of Supreme Court as my agent for your failure to comply. in Iowa for all purposes. result of service of process Witness, Honorable , one of the Justices of the ____________________________ ________________________________________ Court in County, day of 20 Please Type Name Here Applicant's ,Signature Sworn to and subscribed before me this _____ day of _______________, 20 ____. (Attorney must sign above and type name below) (Notary Seal) ________________________________________ Attorney(s) for Notary Public for State of _________________________________ Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. RELEASE : Index No. I, __________________________________, authorize the Board of Law Examiners and their agents or : Calendar No. representatives to acquire from any source, any information they may request concerning my professional, academic, and character qualifications, which information may include without limitation, : JUDICIAL criminal, disciplinary or Plaintiff(s) confidential reports, files, records, documents and transcripts of any type of civil, SUBPOENA administrative action or proceeding. -against: I agree to give any further information which may be required in reference to my past record. I : understand that I will not receive and am not entitled to receive a copy of any character report submitted on me or to know its contents. : I also authorize and request every person, firm, company, corporation, governmental agency, court, bar Defendant(s) : association,. . law . .enforcement. .agency,. .medical . .facility. .or. . other institution having control of any ...... ... ........... ....... ....... ..... . documents, records and other information pertaining to me, to furnish to the Iowa Board of Law Examiners or their agents or representatives, any such information, including documents, records, medical files and bar association files regarding charges or complaints filed against me, formal or informal, pending or closed, or any other pertinent data. THE PEOPLE OF THE STATE OF NEW YORK I further authorize the National Conference of Bar Examiners, or other reporting agency, to submit to the TO Iowa Board of Law Examiners its character report on me, and I fully understand and agree that I shall not have access to said report or to any other confidential reports and other information, except as the Supreme Court of Iowa or the Iowa Board of Law Examiners shall permit. GREETINGS: I hereby release, discharge and exonerate the Iowa Board of Law Examiners, the National Conference of Law Examiners, all other bar associations and any other persons furnishing information, and their agents, WE COMMAND YOU, that all business and excuses being laid aside, you and in connection with the members and representatives, from any and all liability of every nature and kind, each of you attend before the Honorable investigation into my background, the furnishing at the or inspection of Court documents, records and reports , files, located at County of relating to my character and other qualifications for admission to the Iowa State Bar and the submission of a character report ,on me. in room on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the I acknowledge that I have read and am aware of the contents of the relevant Statutes of the Iowa Code, the Supreme Court Rules for Admission to the Iowa Bar and the Code of Professional Responsibility for Lawyers. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ______________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Signature result of your failure to comply. ___________________________________________________________________________________ Witness, Honorable STATE OF _______________________ ) Court in County, day of ) SS: COUNTY OF ______________________ ) , one of the Justices of the , 20 ________________________________, being first duly sworn, deposes and states: I am the person above named. The above signature was written by my (Attorney must signMy answers tobelow) foregoing own hand. above and type name the questions are full, true, and correct to the best of my knowledge and belief. Attorney(s) for _________________________________________________ Signature of Applicant Sworn to and subscribed before me this _____ day of _______________, 20 ____. Office and P.O. Address (Notary Seal) _________________________________________________ Notary Public for Telephone No.: the State of _______________________________________ Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. RELEASE : Index No. I, __________________________________, authorize the Board of Law Examiners and their agents or : Calendar No. representatives to acquire from any source, any information they may request concerning my professional, academic, and character qualifications, which information may include without limitation, : JUDICIAL criminal, disciplinary or Plaintiff(s) confidential reports, files, records, documents and transcripts of any type of civil, SUBPOENA administrative action or proceeding. -against: I agree to give any further information which may be required in reference to my past record. I : understand that I will not receive and am not entitled to receive a copy of any character report submitted on me or to know its contents. : I also authorize and request every person, firm, company, corporation, governmental agency, court, bar Defendant(s) : association,. . law . .enforcement. .agency,. .medical . .facility. .or. . other institution having control of any ...... ... ........... ....... ....... ..... . documents, records and other information pertaining to me, to furnish to the Iowa Board of Law Examiners or their agents or representatives, any such information, including documents, records, medical files and bar association files regarding charges or complaints filed against me, formal or informal, pending or closed, or any other pertinent data. THE PEOPLE OF THE STATE OF NEW YORK I further authorize the National Conference of Bar Examiners, or other reporting agency, to submit to the TO Iowa Board of Law Examiners its character report on me, and I fully understand and agree that I shall not have access to said report or to any other confidential reports and other information, except as the Supreme Court of Iowa or the Iowa Board of Law Examiners shall permit. GREETINGS: I hereby release, discharge and exonerate the Iowa Board of Law Examiners, the National Conference of Law Examiners, all other bar associations and any other persons furnishing information, and their agents, WE COMMAND YOU, that all business and excuses being laid aside, you and in connection with the members and representatives, from any and all liability of every nature and kind, each of you attend before the Honorable investigation into my background, the furnishing at the or inspection of Court documents, records and reports , files, located at County of relating to my character and other qualifications for admission to the Iowa State Bar and the submission of a character report ,on me. in room on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the I acknowledge that I have read and am aware of the contents of the relevant Statutes of the Iowa Code, the Supreme Court Rules for Admission to the Iowa Bar and the Code of Professional Responsibility for Lawyers. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ______________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Signature result of your failure to comply. ___________________________________________________________________________________ Witness, Honorable STATE OF _______________________ ) Court in County, day of ) SS: COUNTY OF ______________________ ) , one of the Justices of the , 20 ________________________________, being first duly sworn, deposes and states: I am the person above named. The above signature was written by my (Attorney must signMy answers tobelow) foregoing own hand. above and type name the questions are full, true, and correct to the best of my knowledge and belief. Attorney(s) for _________________________________________________ Signature of Applicant Sworn to and subscribed before me this _____ day of _______________, 20 ____. Office and P.O. Address (Notary Seal) _________________________________________________ Notary Public for Telephone No.: the State of _______________________________________ Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. RELEASE : Index No. I, __________________________________, authorize the Board of Law Examiners and their agents or : Calendar No. representatives to acquire from any source, any information they may request concerning my professional, academic, and character qualifications, which information may include without limitation, : JUDICIAL criminal, disciplinary or Plaintiff(s) confidential reports, files, records, documents and transcripts of any type of civil, SUBPOENA administrative action or proceeding. -against: I agree to give any further information which may be required in reference to my past record. I : understand that I will not receive and am not entitled to receive a copy of any character report submitted on me or to know its contents. : I also authorize and request every person, firm, company, corporation, governmental agency, court, bar Defendant(s) : association,. . law . .enforcement. .agency,. .medical . .facility. .or. . other institution having control of any ...... ... ........... ....... ....... ..... . documents, records and other information pertaining to me, to furnish to the Iowa Board of Law Examiners or their agents or representatives, any such information, including documents, records, medical files and bar association files regarding charges or complaints filed against me, formal or informal, pending or closed, or any other pertinent data. THE PEOPLE OF THE STATE OF NEW YORK I further authorize the National Conference of Bar Examiners, or other reporting agency, to submit to the TO Iowa Board of Law Examiners its character report on me, and I fully understand and agree that I shall not have access to said report or to any other confidential reports and other information, except as the Supreme Court of Iowa or the Iowa Board of Law Examiners shall permit. GREETINGS: I hereby release, discharge and exonerate the Iowa Board of Law Examiners, the National Conference of Law Examiners, all other bar associations and any other persons furnishing information, and their agents, WE COMMAND YOU, that all business and excuses being laid aside, you and in connection with the members and representatives, from any and all liability of every nature and kind, each of you attend before the Honorable investigation into my background, the furnishing at the or inspection of Court documents, records and reports , files, located at County of relating to my character and other qualifications for admission to the Iowa State Bar and the submission of a character report ,on me. in room on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the I acknowledge that I have read and am aware of the contents of the relevant Statutes of the Iowa Code, the Supreme Court Rules for Admission to the Iowa Bar and the Code of Professional Responsibility for Lawyers. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ______________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Signature result of your failure to comply. ___________________________________________________________________________________ Witness, Honorable STATE OF _______________________ ) Court in County, day of ) SS: COUNTY OF ______________________ ) , one of the Justices of the , 20 ________________________________, being first duly sworn, deposes and states: I am the person above named. The above signature was written by my (Attorney must signMy answers tobelow) foregoing own hand. above and type name the questions are full, true, and correct to the best of my knowledge and belief. Attorney(s) for _________________________________________________ Signature of Applicant Sworn to and subscribed before me this _____ day of _______________, 20 ____. Office and P.O. Address (Notary Seal) _________________________________________________ Notary Public for Telephone No.: the State of _______________________________________ Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA STATE OF IOWA -againstNON-LAW ENFORCEMENT RECORD :CHECK REQUEST FORM A : : TO: Iowa Division of Criminal Investigation FROM: Defendant(s) Bureau of Identification : ...................................................... Wallace State Office Building Des Moines, IA 50319 Clerk of Supreme Court 1111 East Court Avenue Des Moines, IA 50319 THE PEOPLE OF THE STATE OF NEW YORK REQUEST TOam requesting an Iowa criminal history check on: I Box A (Please type or print clearly) GREETINGS: ________________________ __________________ ________________ Last Name (mandatory) YOU, that all First Name excuses being laid aside, you and each of you attend before Middle (recommended) WE COMMAND business and (mandatory) , the Honorable at the Court _____________ _______ at ____________________________ located County of Social Security Number in the inDate of Birth , on the Sex day of room , 20 , at o'clock noon, and at any recessed (mandatory) (mandatory) (recommended) or adjourned date, to testify and give evidence as a witness in this action on the part of the RESULTS Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to As of on whose behalf this subpoena was issued for a maximum check of $50 and the party___________________, a Name and date of birth penalty revealed: all damages sustained as a date result of your failure to comply. CCH record attached _____ Witness, Honorable Court in County, No CCH of the Justices of the , one record found _____ day of , 20 DCI Initials _____ Box B WAIVER (Attorney must sign above and type name below) (see reversed side) I hereby give permission for the above-requesting Attorney(s) for official to conduct an Iowa criminal history record check with the Division of Criminal Investigation. Any information maintained by the DCI may be released as allowed by law. and P.O. Address _________________________________________Office ______________________ Signature of Applicant Date Telephone No.: Facsimile No.: E-Mail Address: ________________________________________________ Mobile Signature of Requestor Tel. No.: (Clerk of Supreme Court) American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- WAIVER Calendar No. : JUDICIAL SUBPOENA : Iowa law does not require a waiver. However, without a waiver any arrest over 18 months : old, without a disposition, cannot be given to a non-law enforcement agency. : Deferred judgments where DCI has received notice of successful completion of probation Defendant(s) also cannot be given out to non-law enforcement agencies without a signed waiver. : ...................................................... General Information: The information requested is based on THE PEOPLE OF THE STATE OF NEW YORKname and exact date of birth only. If a person disputes the accuracy of information maintained by the Department, they may challenge the TO information by writing to the address on the front of this form or personally appearing at DCI headquarters during normal working hours. The records maintained by the Iowa Department of Public Safety are based upon reports GREETINGS: criminal justice agencies and therefore, the Department cannot guarantee the from other completeness of the information provided. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court In Iowa, a deferred judgment is not considered a conviction once the defendant has been located at County of discharged after successfully completing probation. However, it should be noted that a in room , on the day of , 20 , at o'clock in the noon, and at any recessed ordeferred judgment may still be considered as an offense when considering charges for adjourned date, to testify and give evidence as a witness in this action on the part of the certain specified multiple offense crimes, i.e. second offense OWI. If a disposition reflects that a deferred judgment was given, you may want to inquire of the individual his or her current status. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whosein reference to Iowa criminal for a maximum penaltybe $50 and all damages sustained as a Any questions behalf this subpoena was issued history records can of answered by writing to result of your failurethe front of this form or calling (515)281-5138 between the hours of 8:00 the address on to comply. a.m. and 4:30 p.m., Monday through Friday. Witness, Honorable , one of the Justices of the Court in"NO CCH record found" day of checked, it20 County, , could also mean that information in the file If the box is is not releasable per Iowa law without a waiver. (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . N. O. T .E S. . . . . . . . . . ......... .. . . . .. : Index No. FILING THE APPLICATION: File one copy of the application with the Clerk of Supreme Court, 1111 East Court Avenue, Des Moines, IA 50319, no later than March 1 preceding the July examination or October 1 preceding the February examination. An : Calendar No. applicant who fails the Iowa bar examination and wants to take the next examination must file a new application within 30 days of the date the applicant’s score is posted in the Supreme Court Clerk’s office. There will be no exceptions to this requirement. : A new application must be filed for each examination. See Court Rule 31.5. The accompanying Release forms, which you are JUDICIAL SUBPOENA Plaintiff(s) required to submit with this application, are by this reference made a part of this application. A fingerprint card and a dean -against: certificate from your law school are also to be on file. : EXAMINATION FEE: Each applicant must remit a fee of three hundred twenty-five dollars ($325) in the form of a check or money order payable to the Clerk of Supreme Court. See Court Rule 31.6. The fee is not refundable and cannot be applied to a subsequent application. : Defendant(s) NON-LAW ENFORCEMENT RECORD CHECK REQUEST: All applicants are required to fill out the Non-Law Enforcement : ... ...... ..... ....... .. . ...... ... . Record Check .Request.. .Please .complete .Box. A .and sign. Box .B.. . . . . . . . . . . UPDATING THE APPLICATION: If any changes occur after the application is filed which affect the applicant's answers, the applicant must amend the application. A form will be provided on request. THE PEOPLE OF THE STATE OF NEW YORK DATES AND PLACES OF EXAMINATIONS: Written examinations for admission to the bar shall be held in Polk County, Iowa, TO on the Monday preceding the last Wednesday in July in each even-numbered year, and on the Monday preceding the last Wednesday in February in each odd-numbered year. Such examinations shall be held in Johnson County, Iowa, on the Monday preceding the last Wednesday in July in each odd-numbered year, and on the Monday preceding the last Wednesday in February in each even-numbered year. See Court Rule 31.3. GREETINGS: INTENT TO PRACTICE LAW: Only those applicants who can demonstrate a bona fide intention to practice law in Iowa are permitted to take the Iowa bar examination. See all business 31.7. Documentedlaid aside, you andpractice law in Iowabefore WE COMMAND YOU, that Court Rule and excuses being proof of intent to each of you attend is required and will be investigated. See attached affidavit of Intent to Practice Law in Iowa. , the Honorable at the Court County of located at LAW DEGREE: No applicant will be permitted to take the examination without proof that he or she has received the degree of in room on school fully accredited by the, American Bar Association.inA studentnoon, and school recessed day of 20 , at o'clock the LL.B. or J.D. from a reputable ,law the in such a at any who or adjourned date, within 45 days give evidence as ofwitness in this actionexamination of the permitted to take the to testify and after the first day a the February or July on the part will be expects to receive the degree examination upon the filing of an affidavit of the dean of the school stating that he or she expects the student to receive the degree within the specified time. See Court Rule 31.8. Your failure to comply with this subpoena is punishable Each applicant must have on file with the Clerk MULTISTATE PROFESSIONAL RESPONSIBILITY EXAMINATION (MPRE): as a contempt of court and will make you liable to the party on whosethan March 1subpoena was issued for a maximum penalty of $50 and February examination, as a of the Supreme Court, no later behalf this preceding the July examination or October 1 preceding the all damages sustained result of the Multistate comply. a score report from your failure toProfessional Responsibility Examination administered by the National Conference of Bar Examiners. Applicants must receive a scaled scored of at least 80 on the MPRE to be admitted to practice in Iowa. MPRE scores will only be accepted forHonorable after the date the MPRE is taken. It is the responsibility of the applicant to ensure Witness, three years , one of the Justices of the that the score report from the National Conference of Bar Examiners be sent to the Clerk of Supreme Court within the specified Court in County, day of , 20 time. See Court Rule 31.3. TRANSFER AND BANKING OF MBE SCALED SCORE: Applicants may transfer any MBE scaled score they received from an examination taken in another jurisdiction within two years of the deadline for must sign above and type name below) Iowa (Attorney filing the bar application for the examination. See Court Rule 31.4. Applicants must indicate their intent to transfer an MBE score on their bar application. The applicant’s MBE score from a prior examination must be certified from the other jurisdiction or the National Conference of Bar Examiners by October 1 preceding the February examination or by March 1 preceding the July examination. Applicants may not transfer MBE scaled scores from a concurrent administration of the test. Attorney(s) for were unsuccessful on a previous Applicants who Iowa bar examination taken not more than two years prior to the deadline for filing the bar applications for the examination to be taken may rely upon their prior MBE scaled score. Applicants choosing to rely upon their prior MBE scaled score shall indicate their intention on the bar application form. _____________________________________________________________________________________________________ Office and P.O. Address - OFFICE USE ONLY DATE RECEIVED ____________ FEE AMOUNT _____________ RECEIPT NO. _______________ DATE ______________ Telephone No.: EXAM NO. __________ TYPIST __________ MPRE RESULTS __________ LAW SCHOOL ABA ACCREDITED _________ Facsimile No.: E-Mail Address: Mobile Tel. No.: DISABILITY ACCOMMODATIONS REQUESTED _____________________________________________________________ FINGERP