Board of Magistrate and Municipal Judge Certification APPLICATION FOR CERTIFICATION/ RECERTIFICATION EXAMINATION I wish to take portion(s) of the certification/recertification examination on these date(s) and at these times: DATE TIME Criminal Civil Criminal Civil I understand that Supreme Court Rules give the Director of S.C. Court Administration the responsibility for receiving and processing applications and that this application must be received at the Office of South Carolina Court Administration before the first day of the month in which the ple, the application for an examination offered on April 30 must be received on or before March 31.] I request the following special accommodations for using the review materials and/or for taking the examination: . I certify that I am a duly appointed, active Magistrate / Municipal judge. Date: Signature Name: Home Address: County of Residence: RETURN TO: FOR SCCA USE ONLY Mrs. Rosalyn Frierson DATE RECEIVED South Carolina Court Administration nd 1015 Sumter Street, 2 Floor Columbia, SC 29201-3739 Telephone: (803) 734-1800 Fax: (803) 734-0269 PLEASE DIRECT ALL QUESTIONS TO WALTER T. LEVERETTE Telephone: (803) 734-1842