1 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Civil Action No. , Plaintiff(s), v. , Defendant(s). LAW STUDENT APPEARANCE FORM 1. Law Student Certification I certify by my signature that the following statements are true and correct. (a) I am duly enrolled in law school or, or, if graduated, am preparing to take a written bar examination, or am awaiting admission to the bar following that examination, in accordance with part (b)(1) of the Student Practice rule of this court [D.C.COLO.LAttyR 14]. (b) I am enrolled in or have successfully completed a law school clinical program or an externship or internship with a government agency. (c) I have completed two full semesters of law school, including a course in evidence. (d) I am receiving no compensation from the client in accordance with part (b)(6) of the Student Practice rule of this court. (e) I am familiar with and will comply with the Federal Rules of Civil Procedure, the Federal Rules of Evidence, and this court222s local rules of practice and website, including the judicial officers222 procedures. Dated: Signature of Student American LegalNet, Inc. www.FormsWorkFlow.com 2 2. Law School Certification I certify by my signature that the following statements about this student and the supervising attorney are true and correct. (a) That , has completed at least two semesters of law school, including a course in evidence, and is enrolled in (or has completed) an approved clinical program at the law school or an externship or internship with a government agency; (b) That this student is qualified, to the best of my knowledge, to provide the legal representation permitted by the Student Practice rule of this court. (c) That attorney , who will serve as supervising attorney, is either 1) a member of the bar of the U.S. District Court and employed in a clinical program approved by this school, or 2) a member of the bar of the U.S. District Court. Dated: Signature of Dean or Authorized Designee (Position of Above) 3. Supervising Attorney222s Certification I certify by my signature that the following statements are true and correct. (a) I a member in good standing of the bar of this court. (b) I will maintain appropriate professional liability insurance for the supervising attorney and eligible students. (c) I will introduce the student to the court. (d) I assume professional responsibility for the work of the student. (e) I will be present whenever the student appears. American LegalNet, Inc. www.FormsWorkFlow.com 3 (f) I will sign all pleadings and court documents. (g) This signed Law Student Appearance Form will constitute the written agreement to supervise the student in accordance with D.C.COLO.LAttyR 14. Dated: Signature of Attorney 4. Consent of Client I consent to be represented by student attorney in this matter, in accordance with the Student Practice rule of this court. I authorize this student to appear in this matter on my behalf and to prepare court papers under the supervision of an attorney who is admitted to practice before this court. Dated: Signature of Client 5. Judicial Consent I authorize this student to appear in this matter pursuant to the Student Practice rule of this court. Dated: Signature of District Judge or Magistrate Judge Exercising Consent Jurisdiction Pursuant to D.C.COLO.LCivR 40.1(c) and 72.2 American LegalNet, Inc. www.FormsWorkFlow.com