IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA ____________________ DIVISION APPLICATION TO QUALIFY AS A THIRD YEAR LAW STUDENT PERMITTED TO APPEAR IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA PURSUANT TO RULE 83.1(K) CIVIL, 57.4(K) CRIMINAL, AND APPENDIX A, LOCAL RULES OF PRACTICE To: Honorable United States District Judge PERSONAL STATEMENT My full name is My residence address is I was born at My father's name is (was) My mother's name is (was) I am duly enrolled in a law school approved by the American Bar Association or Virginia Board of Bar Examiners. The School in which I am enrolled is: I have completed legal studies amounting to at least four (4) semesters. I understand that I am neither to ask for nor receive any compensation or remuneration of any kind for my services from the person on whose behalf I render services. I hereby certify that I have read and am familiar with the Virginia Code of Professional Responsibility. I do certify that I have read or reread within ninety days prior to the submission of this application (a) the Federal Rules of Civil Procedure, (b) The Federal Rules of Criminal Procedure, (c) The Local Rules of this Court, and (d) The Federal Rules of Evidence. The member of the bar under whose supervision I shall perform any of the things permitted by Local Civil Rule 83.1(K), Local Criminal Rule 57.4(K), and Appendix A is: (Signature) Subscribed and sworn to before me this _____ day of ___________________________, 20____. My commission expires: ________________________________. (Notary Public) I CERTIFY that the above applicant is currently enrolled in _______________________________ _____________________, a law school initially approved by the American Bar Association on ___________________, 20____, which approval is current; and That the above applicant has completed the equivalent of four semesters of law studies, is of good character, has competent legal ability, and has been trained to perform as a legal intern. Dean, (Law School) (College or University) I, the undersigned, do certify that I am a member of the bar of this Court, and hereby assume professional responsibility for the applicant's guidance in any work undertaken and for supervising the quality of the applicant's work. (Supervising Attorney) American LegalNet, Inc. www.FormsWorkFlow.com IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA ____________________ DIVISION THIRD-YEAR PRACTICE OATH I, _______________________________________, do solemnly swear (or affirm) that I will demean myself as a THIRD-YEAR LAW STUDENT, PERMITTED TO APPEAR IN THIS COURT PURSUANT TO THE RULES OF THIS COURT, uprightly and according to law; that I have and will continue to comply with the provisions of said Rule; and that I will support the Constitution of the United States, so help me God. (Signature) (Street) (City) Sworn and subscribed before me this the ______ day of ________________________ 20____. Deputy Clerk Admitted on motion of: American LegalNet, Inc. www.FormsWorkFlow.com