In the Supreme Court of Missouri APPLICATION TO PARTICIPATE IN THE LEGAL ASSISTANCE BY LAW STUDENTS Pursuant to Rule 13 In the Matter of: (Student’s Full Name) (Social Security Number) Petition of Law Student Applicant I am presently enrolled as a student at , a law school accredited by the American Bar Association, and I have completed legal studies amounting to one-half of the credits required for graduation. I anticipate that I will complete my J.D. degree in (month/year) . I have read and fully understand the provisions of Supreme Court Rule 13 and hereby pledge to abide by the aforementioned rule. I have read and thoroughly familiarized myself with Supreme Court Rule 4, Rules of Professional Conduct, and will abide by the aforementioned rule. Date: (Law Student Applicant’s Signature) Law School Dean’s Certification As Dean or other authorized official of certify that standing at this institution. ,I is enrolled as a law student in good I certify that the student has not been accused or found guilty of violating the law school’s ethical standards. I certify that I do not have knowledge or notice of any information that would cause me to doubt the student’s character, fitness, or moral qualifications to practice law. I certify that to my knowledge, the student has not been denied registration as a law student, or any similar application, in any jurisdiction on the basis of the student’s character and fitness, or, if so denied, the denial has been resolved in the student’s favor. Date: (Signature of Dean or Authorized Official) Type or Print Dean’s Name: Dean’s Telephone Number: Rule 13 Application eff. 7-1-2009 Page 1 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATION OF SUPERVISING ATTORNEY Supervising Attorney’s Name Missouri Bar Number I state that I am a member in good standing of The Missouri Bar. I assume a professional responsibility for guiding any work undertaken by pursuant to the student’s certification under Rule 13 and for supervising the quality thereof. I have reviewed Supreme Court Rules 13.01 and 13.04 regarding activities in which a Rule 13 certified student may engage. By signing this certificate I acknowledge that I understand that Rules 13.01 and 13.04 authorize the following activities: (a) An eligible student may appear in any court or before any administrative tribunal in this State on behalf of any person who is: (1) Indigent, or (2) A client represented by a clinic chartered by an ABA approved law school, if the person on whose behalf the student is appearing consents in writing and the supervising lawyer approves in writing. The supervising attorney must be personally present throughout the proceedings if the matter is one in which the person has the right to the assignment of counsel. (b) With the written approval of the supervising lawyer, an eligible student also may appear in any matter on behalf of: (1) the State; or (2) a county or municipality for purposes of prosecuting a municipal ordinance violation. (c) An eligible student may engage in preparation of pleadings and other documents to be filed in any matter in which the student is eligible to appear, but such pleadings or documents must be signed by the supervising lawyer. (d) An eligible student may engage in preparation of briefs, abstracts and other documents to be filed in appellate courts, but such documents must be approved by the supervising lawyer. (e) An eligible student may engage in assistance to indigent inmates of correctional institutions or other persons who request such assistance in preparing applications for and supporting documents for post-conviction relief. The attorney of record in the matter, if any, must supervise all such assistance and sign all documents submitted to the Court on behalf of such a client. (f) An eligible student may participate in oral argument in appellate courts but only in the presence of the supervising lawyer. Date________ (Signature of Supervising Attorney) Attorney’s business address: Firm or Entity: Street or PO Box: City, State & Zip: Daytime telephone number: E-mail address: Rule 13 Application eff. 7-1-2009 Page 2 American LegalNet, Inc. www.FormsWorkFlow.com