Court of Appeals of Georgia 47 Trinity Avenue · Suite 501, Atlanta, Georgia 30334 EXPEDITED REMOTE ADMISSION APPLICATION Bar Number:__________ Date Admitted to GA State Bar:______________________ Requested Admission Date: _________________________ To the Honorable Court of Appeals of Georgia The petitioner, having been regularly admitted and licensed to practice law in the superior courts of this State, and being a member in good standing of the State Bar of Georgia, respectfully applies for admission to the bar of this Court. Last Name: _____________________ First Name: ________________ Middle Name: ________ Signature: _____________________________________________________________________ Firm or Agency: ________________________________________________________________ Mailing Address (Business address preferred ): _______________________________________________________________ ________________________________________________________________ Telephone Number E-mail Address ___________________________________________________________ ___________________________________________________________ Sponsor Certification We hereby certify that we are members of the bar of the Court of Appeals of Georgia, that we know the above applicant personally and that her/his private and professional character is good. Bar Number: _________________ Printed Name:____________________________________ Signature: Bar Number: _________________ _____________________________________ Printed Name:____________________________________ Signature: _____________________________________ FOR CLERK'S OFFICE USE ONLY Date of Admission: Admission by: ________________________ Clerk________________ via phone G Expedited Remote Admission must contain original signatures on this form with check Fee: $200.00 $30.00 Admission Application Total: $230.00 American LegalNet, Inc. www.FormsWorkFlow.com