1 OFFICE OF PROFESSIONAL REGULATION LAW STUDENT REGISTRATION INSTRUCTIONS READ BEFORE YOU BEGIN THIS FORM PLEASE NOTE: SIGNIFICANT CHANGES HAVE BEEN MADE TO THE LAW STUDENT REGISTRATION. THEFORM BELOW IS THE ONLY FORM THAT WILL BE ACCEPTED BY THE OFFICE OF PROFESSIONALREGULATION.THREE OPTIONS AVAILABLE FOR COMPLETING THIS FORM:USING ADOBE ACROBAT: If you have Adobe Acrobat (not Adobe Reader) you can complete and save yourlaw student registration on your computer in order to work at your own pace. Before you begin completing thelaw student registration, you must save the file to a specific destination on your computer to enable you tocomplete the form in more than one sitting. If you do not do so, all information will be lost and you will berequired to complete the form each time you open the link.USING ADOBE READER: If you have Adobe Reader, YOU MAY NOT SAVE YOUR LAW STUDENTREGISTRATION ELECTRONICALLY. Due to limitations in the FREE Adobe Reader, you will not be able tosave the law student registration with entries included. For this reason, you should be prepared to fill out thelaw student registration in its entirety before you begin. Once you fill out the law student registration, you willbe allowed to print it, but will not be allowed to save it. Note, as soon as you close the document, allinformation entered into the form will be lost. If you do not have Adobe Reader, click here(http://get.adobe.com/reader/) to download the latest version of Adobe Reader.PRINT AND HANDWRITE THE FORM: If you do not have either Adobe Acrobat or Adobe Reader, or youhave difficulties typing in the form, you may print this document and fill it out by hand.FILING THE REGISTRATION: Once you have completed the form, double check to make sure that all fields are filledin. Print the completed form. Then, sign at the required fields in the presence of a notary public. Finally, mail or hand-deliver the completed registration and the required fee to the Office of Professional Regulation, 1111 East CourtAvenue, Des Moines, IA 50319 by November 1 of the year in which you commence the study of law in an ABA-accredited law school. If the registration is not filed by the November 1 deadline listed above, it must be on file beforeany bar application will be processed and must be accompanied by a late filing fee of.REGISTRATION FEE: Each registrant must remit a fee of $ in the form of a check or money order payable to theBoard of Law Examiners. See Iowa Ct. R. 31.2. If the registrant does not file the law student registration by theNovember 1 registration deadline above, but does file one by July 1 immediately preceding the February examinationor by December 1 immediately preceding the July examination, the registrant must pay a fee of $75. If the registrantdoes not file the registration within the above deadlines, but does file one by November 1 immediately preceding theFebruary examination or by April 1 immediately preceding the July examination, the registrant must pay a fee of $150.Registration fees are not refundable.REGISTRATION STATUS: No receipt is sent to confirm arrival of your registration. For documentation, you maychoose a delivery system which offers tracking and requires a signature for delivery. You may also file your applicationpersonally in the Office of Professional Regulation, Monday through Friday, during business hours of 8:00 a.m. to 4:30m. You will only be contacted about your registration if further information is required. American LegalNet, Inc. www.FormsWorkFlow.com 2 THE LAW STUDENT REGISTRATION IS NOT ~ DO NOT INCLUDE THESE PAGES WITH YOUR REGISTRATION ~ DEEMED AN APPLICATION FOR PERMISSION TO TAKE THE IOWA BAR EXAMINATION. Persons intending to take the Iowa Bar Examination must file an application to take the examination and pay the application fee. The bar application must be on file no later than April 1 preceding the July examination or November 1 preceding the February examination. There will be no exceptions to these deadlines. Each applicant must also have on file with the Office of Professional Regulation, no later than April 1 preceding the July examination or November 1 preceding the February examination, a score report from the Multistate Professional Responsibility Examination administered by the National Conference of Bar Examiners. Applicants must receive a scaled score of at least 80 or above on the MPRE to be admitted to practice law in Iowa. MPRE scores shall only be accepted for three years after the date the MPRE is taken. It is the responsibility of the applicant to ensure that the score report from the National Conference of Bar Examiners is sent to the Office of Professional Regulation within the specified time. See Iowa Ct. R. 31.3. American LegalNet, Inc. www.FormsWorkFlow.com 3 OFFICE OF PROFESSIONAL REGULATION LAW STUDENT REGISTRATION The contents of this registration will be public information subject to the limitations of Iowa Code section 602.10141. Staple all attachments to the back of this form. File completed form with the Office of Professional Regulation, 1111 East Court Avenue, Des Moines, IA 50319 by November 1 of the year in which you commence the study of law in an ABA-accredited law school. Enclose a check or money order for $. If you do not file by the November 1 registration deadline above, but file by July 1 immediately preceding the February examination or December 1 immediately preceding the July examination, you pay $75. If you do not file the registration within the above deadlines, but file by November 1 immediately preceding the February examination or by April 1 immediately preceding the July examination, you must pay $150. Make the check or money order payable to Board of Law Examiners. The fees are not refundable. SECTION A DATE OF BAR EXAMINATION FOR WHICH YOU WILL APPLY: (Mo/Yr) 1.FULL NAME: Last First Middle 2.MAILING ADDRESS: Street Address or P.O. Box Number City State Zip Code County 3.RESIDENCE ADDRESS: Street Address City State Zip Code County How long have you lived at this address? Since / (Mo/Yr) 4.TELEPHONE NUMBER: ResidenceWork Cell 5.EMAIL ADDRESS: 6.DRIVER'S LICENSE: StateNumber 7.BIRTH DATE: (MM/DD/YYYY) 8. AGE: 9.BIRTHPLACE: (City/State/Country) 10.CITIZENSHIP: (Of which country are you a citizen?) 11.FATHER'S NAME: 12.MOTHER'S NAME: 13.DATE YOU BEGAN LAW SCHOOL: (Mo/Yr) American LegalNet, Inc. www.FormsWorkFlow.com 4 14. OTHER NAMES: Have you ever used or been known by any name other than that Yes/No given above (because of marriage, formal name change, etc.)? If YES, list in full each other name used, the dates you used it, and the reason you used it. If your name was formally changed (in a judicial or naturalization proceeding), ATTACH 15. MARITAL STATUS: Married Single If you are married, give the date of your marriage, the place of the marriage, and the name of your spouse. a copy of the name change order or marriage certificate. 16. REFERENCES: Give the names and mailing addresses of three persons, who know you well but are not related to you, who will attest to your good moral character. ATTACH signed letters from these persons to your registration form. NAME MAILING ADDRESS EMAIL ADDRESS Continued on Next Page American LegalNet, Inc. www.FormsWorkFlow.com 5 17. PREVIOUS RESIDENCE ADDRESSES: List in chronological order every residence address you have had since age 18 other than your current one. Give the dates you lived at each address, paying careful attention not to include any gaps in time. From MO/YR to MO/YR STREET AND NUMBER CITY AND STATE NOTE: IF YOU NEED ADDITIONAL SPACE, ATTACH PAGES TO THE END OF THIS DOCUMENT. American LegalNet, Inc. www.FormsWorkFlow.com 6 18. EDUCATION: A. List all law schools you have ever attended whether or not you received any credit. Begin with the law school you are currently attending. LAW SCHOOL DATES ATTENDED CREDIT/DEGREE RECEIVED OR TO BE RECEIVED DATE OF DEGREE (MONTH/YEAR) B. Is the law school you are currently attending, or attended, fully accredited by the Yes/No American Bar Association? C. List all colleges and universities you have ever attended (other than the law schools listed above) whether or not you received a