IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEBRASKA _______________________________, Plaintiff(s), v. _______________________________, Defendant(s). ) ) ) ) ) ) ) Case No. ___________________ NOTICE OF APPEARANCE OF STUDENT INTERN _________________________ (Name of Supervising Attorney), an attorney of record for the abovenamed _________________________(Name of Client), plaintiff/defendant, hereby advises the Court that he/she is acting as supervising attorney for ________________________(Name of Law Student), a law student who is eligible to appear in this Court under the approved law school clinical program conducted at _________________________(Name of Law School), and that said student intern will make an appearance in this matter under the supervision of the undersigned supervising attorney. Please also be advised that both the supervising attorney and the law student have read and agreed to abide by Nebraska General Rules §1.7 (j)(2)(C)(iii) governing the practice by student interns. Dated this ______ day of _______________, _________. ___________________________________ Signature of Supervising Attorney ___________________________________ Address ___________________________________ ___________________________________ Phone Number ____________________________________ Signature of Law Student ____________________________________ Name of law school student is attending ____________________________________ Address of law school ____________________________________ CLIENT CONSENT1 I authorized the above-named law student who is being supervised by my attorney to appear in court or at other proceedings on my behalf and to prepare documents on my behalf under the supervision of the above-named supervising attorney. I understand I am not required to authorize a law student to participate in my case. My attorney must be present when the law student appears in court. I may withdraw this consent at any time, with or without cause, by notifying the above supervising attorney or the court. Date: _______________________________ _____________________________________ Signature of Client 1 The United States does not need to obtain a client's consent. o:\clerk\proc\forms\studentappr.wpd American LegalNet, Inc. www.FormsWorkFlow.com