RHODE ISLAND SUPREME COURT COMMITTEE ON CHARACTER AND FITNESS LICHT JUDICIAL COMPLEX 250 BENEFIT STREET PROVIDENCE, RI 02903 RIBAREXAM@COURTS.RI.GOV AMENDMENT FORM FOR BAR APPLICATION Use this form to list the question numbers contained in your application about which additional and supplemental facts and information are to be disclosed and follow each such number with the facts and information as was done in your original application. A single copy of this Amendment Form shall be filed. All answers must be typed or neatly handwritten by the applicant and the form must be notarized. Name: ________________________________ Full date of birth: ____________________________. Amendment to original application or amendment form dated ________________ and submitted for the bar exam in February or July of _______________. I understand that my application for admission to the Rhode Island Bar is a continuing application and for this reason amend my application with the following additional facts and information which correctly and fully brings my previous filed Petition/Questionnaire and/or Amendment Form to a current status. This amendment applies to the following petition/questionnaire questions: Being first duly sworn, the foregoing information is complete and true of my own knowledge. ________________________________ Signature NOTARIZATION State of ________________________________ County of ____________________________________ Sworn to and subscribed before me this __________ day of _______________________, 20 _________ ______________________________________ Notary Public (Seal) My commission expires: __________________ C&F SF 10/16/15 American LegalNet, Inc. www.FormsWorkFlow.com