RHODE ISLAND SUPREME COURT COMMITTEE ON CHARACTER AND FITNESS LICHT JUDICIAL COMPLEX 250 BENEFIT STREET PROVIDENCE, RI 02903 RIBAREXAM@COURTS.RI.GOV CERTIFICATE OF DEAN/ADMINISTRATOR OF LAW SCHOOL Instructions: This form should be forwarded to the Dean of your law school or other appropriate administrative official for completion upon receipt of your LL.B., J.D., or LL.M. degree. The completed form should be forwarded directly to the Committee on Character and Fitness at the address above by the Dean of your law school. I, ____________________________, hereby certify that I am the __________________________________ of Name of Official Title _______________________________ that ______________________________ entered the law school of said Law School Applicant's Name college/university on ____________; and that the degree of ____________ was conferred on _____________; Date Degree Date and that there are are not any matters known to me or contained in the graduate's record which depreciate the graduate's good moral character. (If there are matters known or contained in the file, I have appended documents fully explanatory of those matters.) From the records of your office please check the appropriate answer below: Is the applicant honest? Is the applicant thorough in fulfilling obligations? Yes Yes No No Unknown Unknown If your answer to either of the above questions is no, please provide a short summary of details at the end of this form. Do the records of your office reflect that the applicant has ever been: YES Suspended, expelled, asked to resign or otherwise disciplined by any educational institution? A party to any legal or administrative proceeding? Arrested for any traffic or criminal charge? Accused of a violation of trust? Denied admission to the Bar of any other state or jurisdiction? Delinquent in any financial obligations? Ever reprimanded, disciplined or cautioned for tardiness, absenteeism, or unsatisfactory academic performance while a student? C&F SF 10/16/15 American LegalNet, Inc. www.FormsWorkFlow.com NO If you have any personal remarks, or if the answer to any of the above questions is yes, please provide a short summary of details at the end of this form. The Committee sincerely appreciates your cooperation in completing this form and assures you that the information furnished by you will not be revealed to anyone who is not authorized by the Rules of the Supreme Court of Rhode Island relating to admission to the Bar. The information furnished by me is true and correct to the best of my knowledge. ______________________ Date _________________________________ Signature of law school official SEAL C&F SF 10/16/15 American LegalNet, Inc. www.FormsWorkFlow.com