Form 9STATE BAR of GEORGIACOMMISSION on CONTINUING LAWYER COMPETENCY104 Marietta StreetSuite 100Atlanta, Georgia 30303(404) 527-8710REQUEST BY THE SPONSOR FOR APPROVAL OF A Self-StudyCONTINUING LEGAL EDUCATION ACTIVITYPLEASE NOTE: Regulation #5 under Rule 8-106 (B) applies specifically to Self-Study CLE activities.1.Name of Sponsor: 2.Name of Contact Person : Telephone () 3.Sponsor's Full Address (Include Firm's Name): 4.Title of the CLE Activity: 5.Date(s): 6.Format: 7.The Sponsor's calculation of the requested number of (A) Total CLE Hours as well as the portions of the total hoursdevoted to (B) Ethics and (C) Trial topics:(A) minutes = Total CLE Hours*(Please round the hours to the 60nearest one-tenth of an hour)(B) minutes = Total Ethics Hours* 60(C) minutes = Total Trial Hours* 60(D) minutes = Total Professionalism*(Minimum of one (1) per60calendar year)*PLEASE SEE THE BACK OF THIS PAGE FOR THE REGULATIONS ON THE COMPUTATION OF CLE HOURS . 8.Submit with this Request the following information: A.A brochure or other such outline that (1) describes the course content, (2) identifies the faculty andstates their qualifications, (3) lists the topics by title.B.One (1) copy of the materials that will be distributed to each attendee. A submission of this form withoutwritten materials will only delay the review process. If no materials or only brief outlines will be provided,please attach an explanation showing why this CLE activity meets the accreditation standards contained in the enclosed Rules and Regulations.9.The Sponsor agrees to furnish to the CCLC within 30 (thirty) days after this CLE activity the following:A.Provide attorney with certificate of completion.10.The Sponsor represents that it will:A.Have experienced attorneys contribute to the teaching.(continued on the reverse side) American LegalNet, Inc. www.FormsWorkFlow.com C.Notify the attendees that no more that six (6) hours may be earned by an attorney in a calendaryear through self-study CLE.PLEASE SUBMIT THIS FORM AT LEAST 30 (THIRTY) DAYS IN ADVANCE OF THE CLE ACTIVITY. 11.The Sponsor acknowledges that this CLE activity may be disapproved and that prior approvals of any CLEactivity may be revoked for violations of the enclosed Rules and Regulations or for failure to comply with theagreements and representations contained in this Request.Date: Sponsor:By:Title:CLE HOURS1.Only the time of actual instruction counts toward CLE credit hours. 2.Question and answer sessions are considered actual instruction and may be included for CLE credit provided suchquestion and answer sessions do not exceed ten (10) minutes per CLE credit hour. For example, a program approvedfor six (6) total CLE credit hours may include up to one (1) total hour of a question and answer session.3.CLE credit is not given for:Breaks, Business meetings, Introductory remarks, Keynote speeches, Meals, or Speeches in connection with meals.4.No CLE credit is given for a CLE activity of less than 60 (sixty) minutes in length. A CLE activity means the entire program and not the individual topics. Therefore, a program may include individual topics of less than 60 (sixty) minutes in length.ETHICS HOURS1.Instruction in ethics includes topics on professional responsibility and malpractice.2.Instruction in ethics does not include topics such as attorney fees and client development except to the extent thatprofessional responsibility is directly discussed in connection with such topics. TRIAL HOURS1.Trial practice courses are defined as CLE exclusively limited to one or more of the following five (5) subjects: a.evidencec.criminal practice and proceduree.trial advocacyb.civil practice and procedured.ethical conduct of litigation2.Due to the "exclusively limited" requirement, trial CLE must be (a) clearly segregated and identified (b) a minimum of one (1) hour in length, and (c) limited to one or more of the five (5) listed subjects in order to receivetrial CLE credit. The "exclusively limited" requirement does not prohibit credit for a seminar that deals withone or more of the subjects stated in the Rule in the context of a particular field of trial practice, such as medicalmalpractice, personal injury defense, criminal cases, construction law, etc. PROFESSIONALISM HOURS American LegalNet, Inc. www.FormsWorkFlow.com