Application for Admission to Practice Instructions All applicants to the Eastern District of Michigan Bar must submit the following: 1. Application for Admission (attached). 2. Original Certificate of Good Standing issued within the last 30 days from a court of record identified in the application. (This must be issued from a court, not a bar association such as the Michigan State Bar.) 3. A written statement of facts disclosing any previous disciplinary issues. (In this case a completed and signed Declaration of Sponsor Form should also accompany the application and statement of facts). 4. Application fee payable to: Clerk, U.S. District Court. Required items must be submitted in person or mailed to: U.S. District Court Clerk's Office 231 W. Lafayette Blvd. Detroit, MI 48226 After the application is processed and the applicant is ready to receive the Oath of Office the attorney will receive an email from the court. When the attorney is ready to receive the oath, the following additional forms are required (Do not submit these documents with the initial application; these are to be provided directly to the judicial officer or clerk performing the Oath of Office, except in cases of disciplinary disclosures as described above): 1. A completed Declaration of Sponsor form, if receiving the Oath of Office remotely. 2. Signed Oath of Office Form. 3. A copy of the email received from the court indicating that the attorney is now eligible to receive the Oath of Office. SponsorRequirement Local Rule 83.20(d)(3) requires that applicants have a sponsor in two instances: 1. Applicant has previous disciplinary issues. 2. Applicant who has an office outside of the Eastern District of Michigan and wishes to receive the Oath of Office via telephone or video conference. OathofOfficeRequirement If the court grants the application for admission to the bar, LR 83.20 (a)(4) requires applicants to take the Oath of Office. An attorney is not admitted to practice in the district until the oath has been administered. ReceivingtheOathofOffice The Oath of Office may be administered either in person, or by telephone or video conference. 1. In Person: Applicants with an office in the Eastern District of Michigan must take the Oath of Office in person. Applicants will provide the Oath of Office form (attached) to the judicial officer. After the oath is administered, the Oath of Office form must be signed by both the applicant and the Judicial Officer conducting the oath. The judicial officer will return the oath form to the Clerk's Office. Telephone/Video Conference: Applicants without an office within the Eastern District of Michigan may take the oath remotely via telephone or video conference. If the oath is going to be performed remotely, the applicant must contact chambers staff prior to the administering of the oath and provide both a completed Declaration of Sponsor form (attached) and a signed Oath of Office form (attached). The judicial officer will also sign the Oath of Office and return the oath form to the Clerk's Office. 2. ElectronicFilingRequirement After completion of the oath, applicants will receive an email explaining the process to register for an electronic filing login and password. As of July 1, 2012, attorneys must be sworn in by a judicial officer or a designee before being eligible to register for an efiling login and password. If you have an impending deadline, be advised that once the Oath of Office is administered, the process to receive a login and password may take an additional 23 business days to complete. If you have any questions, please contact the Clerk's Office at 3132345000. American LegalNet, Inc. www.FormsWorkFlow.com 1/27/17 United States District Court Eastern District of Michigan Application for Admission to Practice Contact Information Applicant's Full Name Firm Street Address City Country Phone Email Generation Suite Zip State Fax Bar Membership Information List all states in which you are presently admitted or licensed to practice State Admission Date ID Number (if applicable) State Admission Date ID Number (if applicable) Prior Legal Names Please state any other name under which you have received legal education or have practiced or been licensed and the periods during which the names were used Name Dates Name Dates Disciplinary Disclosures Have you been held in contempt, disciplined by any court or state disciplinary body, or been convicted of a crime? Yes* No Are you not in compliance with an order of a court? Yes* No *If yes to either question above, please provide a statement of the facts, circumstances and final disposition of each occurrence. The statement of facts must be a separate document attached to the printed application and submitted with the application. In addition, you must provide a sponsor who will complete the attached Declaration of Sponsor. In accordance with LR 83.20(c), if an applicant responds affirmatively to either of the above questions, the Chief Judge will make an independent determination as to whether the applicant is fit to be an attorney and officer of this Court. Signature of Applicant By signing below, I acknowledge that I have provided the following: Original Certificate of Good Standing issued within the last 30 days from a court of record identified in the above Bar Membership Information section is attached. The required Application Fee made payable to "Clerk, U.S. District Court" is submitted with this application for admission. If applicable, statement of facts regarding previous disciplinary issues, as well as a completed and signed Declaration of Sponsor per LR 83.20(c)(2). Signature of Applicant Receipt No: Date of Receipt: Date Clerk's Office Use Only Comments: No Record Found Date: Chief Judge Approval of Disciplinary Disclosures Use Only* NLRDB: Signature of Chief Judge Approved Not Approved Date American LegalNet, Inc. www.FormsWorkFlow.com 1/27/17 United States District Court Eastern District of Michigan Declaration of Sponsor Sponsor's Full Name Firm Street Address City Country Phone Email Generation Suite Zip State Fax Please select the reason this Declaration of Sponsor is being submitted. If neither reason applies, this form is NOT required and should NOT be submitted to the Court. Follow the directions indicated for the option selected. Oath performed remotely via telephone or video conference LR 83.20(d)(4) Please submit this form to the Judicial Officer performing the oath prior to the oath being admini