SUPREME COURT OF GEORGIA BOARD OF BAR EXAMINERS 244 Washington Street, SW, Suite 440 Atlanta, GA 30334 PETITION FOR ADMISSION ON MOTION WITHOUT EXAMINATION Your answers on this petition must be typed or printed legibly. The petition must be accompanied by a nonrefundable fee of $600 which must be in the form of a cashier’s check or money order and made payable to the Office of Bar Admissions. If you have not already done so, you must file an Application for Certification of Fitness to Practice Law contemporaneously with this application. PERSONAL INFORMATION (Circle one) Mr. Mrs. Ms. (Full Nam e) First Middle Last Suffix Social Security Num ber Mailing Address Date of Birth Apt. # Daytim e Phone Num ber City State ZIP Code EDUCATION Undergraduate Degree Date Conferred Date JD Degree Conferred Nam e of Undergraduate School Granting Degree Nam e of Law School Granting Degree You must attach an official transcript from your degree granting undergraduate school and JD degree granting law school indicating your degree and the date it was conferred. ADMISSION IN OTHER JURISDICTIONS OR STATES Name of Jurisdiction Date of Admission Admitted by Exam or Motion Current Status (Active, Inactive, Disbarred, Involuntarily Resigned, etc.) Good Standing Yes or No You must include: (1) a Letter of Good Standing from each jurisdiction or state in which you are currently admitted to practice law; (2) a Letter from each jurisdiction or state in which you were admitted but are no longer active confirming that you were in good standing at the time you resigned or otherwise became inactive; and (3) a Record of your Disciplinary History from each jurisdiction or state in which you have ever been admitted to practice law. These document(s) must be Current (dated no earlier than 60 days prior to the filing of this Petition) and Original (no copies). Signature of Applicant Effective January 1, 2003 Date Revised April 2010 American LegalNet, Inc. www.FormsWorkFlow.com Attachment #1 ADMISSION ON MOTION WITHOUT EXAMINATION AFFIDAVIT I, _______________________________________________, certify that I meet all the eligibility requirements as stated in Part C, Section 2 of the Rules Governing Admission to the Practice of Law in Georgia: 1. I meet all the educational eligibility requirements of Part B, Section 4 of the Rules (undergraduate degree and law degree from an ABA-approved law school); 2. I have been admitted by examination in ___________________, a state or jurisdiction which has reciprocity for bar admissions purposes with Georgia, and I acknowledge that I have read the admission on motion requirements of that jurisdiction and that I am subject to the same requirements pursuant to Part C, Section 2(b) of the Georgia Rules; 3. I have never been denied certification of fitness in Georgia or any other state or jurisdiction; 4. I have never taken the Georgia Bar Examination or the Georgia Attorneys’ Examination; 5. I have been primarily engaged in the practice of law for five (5) of the last seven (7) years immediately preceding the date of this application; 6. I have at all times been in good professional standing in every state or jurisdiction in which I have been licensed to practice law; and 7. I have never engaged in the unauthorized practice of law in Georgia. 8. I intend to engage in the practice of law in Georgia. Signature of Applicant STATE OF COUNTY OF Sworn to before m e this _________day of __________________,20___________ Signature of Notary Effective January 1, 2003 Revised April 2010 American LegalNet, Inc. www.FormsWorkFlow.com Attachment #2 CERTIFICATION OF PRACTICE Section 2(e) of the Rules Governing Admission to the Practice of Law in Georgia requires that you have been “primarily engaged in the active practice of law for five of the seven years immediately preceding the date upon which the application is filed.” Beginning 7 years ago or from the date of your admission to practice law (whichever is most recent) verify that you meet this requirement by completing the table below; providing a total number of months of “active law practice” which total must be at least 60 but not more than 84 months. For this purpose, the dates you provide cannot overlap. NOTE: There should be no discrepancies between the information provided here and your answer to Question 14 (Employment) of your Application for Certification of Fitness to Practice Law. Dates of Em ploym ent (m onth & year) from Num ber of Months Em ployer, Firm or Agency & Com plete Mailing Address Position Held Explanation Regarding Nature of Practice to TOTAL Your total number of months of “active law practice”. “I ________________________________________ affirm that I have been “primarily engaged in the active practice of law for five of the seven years preceding the date upon which this application is filed” as indicated by the information provided above. ________________________________________________________ Signature Effective January 1, 2003 ______________________________ Date Revised April 2010 American LegalNet, Inc. www.FormsWorkFlow.com PETITION FOR ADMISSION ON MOTION WITHOUT EXAMINATION CHECKLIST All of the following are required as a part of your Petition for Adm ission on Motion without Exam ination. Please check that you are subm itting each item , sign, date and return this form . G COMPLETED APPLICATION FOR CERTIFICATION OF FITNESS TO PRACTICE LAW (ACCOM PANIED BY $1000 FILING FEE) G COMPLETED PETITION FOR ADMISSION ON MOTION W ITHO UT EXAMINATION (ACCOM PANIED BY $600 NON-REFUNDABLE FILING FEE) Pursuant to Part C, Section 4(b) of the Rules Governing Adm ission to the Practice of Law , the Application for Certification of Fitness and the Petition for Adm ission on Motion m ust be filed sim ultaneously. G Please check here if you currently have an Application for Certification of Fitness on file with the Office of Bar Adm issions. Fee(s) m ay be com bined – m ust be in the form of a bank cashier’s check or m oney order payable to: Office of Bar Admissions G AFFIDAVIT – Attachm ent #1 Must be com pletely filled out, signed and notarized. G CERTIFICATE OF PRACTICE – Attachm ent #2 Verifying that you have been “prim arily engaged in the active practice of law for five of the seven years im m ediately preceding the date upon which you file your Motion Petition”. G OFFICIAL TRANSCRIPT FR O M YOUR GRANTING UNDERGRADUATE SCHOOL DEGREE- Must be an “official transcript” from your undergraduate school and your law school. G OFFICIAL TRANSCRIPT FROM YOUR JD DEGREEGRANTING LAW SCHOOL Must indicate the degree and the date conferred. G A LETTER OF GOOD STANDING FROM EACH JURISDICTION OR STATE IN W HICH YOU ARE CURRENTLY ADMITTED TO PRACTICE. A letter of good standing is required from each jurisdiction in which you have been adm itted to practice law (even if you are currently inactive in that jurisdiction). G A LETTER FROM EACH JURISDICTION OR STATE IN W HICH YOU W ERE ADMITTED BUT ARE NO LONG ER ACTIVE CONFIRMING THAT YOU W ERE “IN GOOD STANDING AT THE TIME YOU RESIGNED OR OTHERW ISE BECAME INACTIVE”. The letter(s) m ust be dated no earlier than 60 days prior to the date upon which you file your Motion Petition. G I am currently “active” in each jurisdiction in which I am adm itted to practice law. In order to determ ine which agency issues letters of good standing, you should contact the jurisdiction(s) in which you are adm itted. G A RECORD OF YOUR DISCIPLINARY HISTORY FROM EACH JURISDICTION OR STATE IN W HICH YOU HAVE BEEN ADMITTED TO PRACTICE. A record of your disciplinary history is required from each jurisdiction in w hich you have ever been adm itted to practice law. Your disciplinary record(s) m ust be dated no earlier than 60 days prior to the date upon which your file your Motion Petition. Inform ation regarding U.S. disciplinary boards are available on the Am erican Bar Association’s website at http://www.abanet.org/cpr/regulation/directory.pdf. I understand that my petition will not be considered complete unless accompanied by all required documentation, as listed above. If my petition packet is not complete when received in the Office of Bar Admissions it will not be considered filed and will be returned to me. I also understand that, depending on the rules and fees for admission on motion of my former (sending) jurisdiction, I may be subject to more stringent requirements than are set forth in the Rules Governing Admission to the Practice of Law in Georgia pursuant to Part C, Section 2(b) of the Rules. I further understand that, in addition to being determined eligible for admission on motion by the Board of Bar Examiners, I must receive certification by the Board to Determine Fitness of Bar Applicants pursuant to Part A of the Rules Governing Admission to the Practice of Law before I can be sworn in to the practice of law in Georgia. _____________________________________________________________ ____________________________________ Signature Effective January 1, 2003 Date American LegalNet, Inc. www.FormsWorkFlow.com Revised April 2010