United States District CourtMiddle District of TennesseeOffice of the Clerk801 Broadway, Room 800Nashville, TN 37203 (615) 736-5498INSTRUCTIONS FOR ADMISSION TO PRACTICE IN THEUNITED STATES DISTRICT COURT FOR THEMIDDLE DISTRICT OF TENNESSEE Before admission, you must complete the application for admission to practice and returnit to the Clerk for approval. The state or other bar information provided on the application form willbe verified by the Clerk222s Office.If you are not admitted to practice in the State of Tennessee, you must attach a certificate ofgood standing from a United States District Court or a United States appellate court where you areadmitted. Both attorneys who sign the application on your behalf must be admitted to practice beforethis Court. After submission of your application to the Clerk's Office, we will promptly determine ifyour application may be approved pursuant to Local Rules of this Court. If we approve yourapplication, you will receive an email of approval with the upcoming admission dates, check-inprocedures, and the current amount for the admission fee. You must be admitted to practice withinsix (6) months from the date your application is approved. If you are not admitted to practice withinthat six (6) months, you must submit a new application.An attorney who is admitted to practice before this Court must accompany you and introduceyou in open court. This attorney does not need to be one of the attorneys who signed yourapplication for admission. On your scheduled admission date, please report to the Clerk's Office at least fifteen minutesprior to the time you are to be admitted in order to check in, pay the admission fee, and be advisedof the courtroom for the admission hearing. After you are admitted, you must return to the Clerk'sOffice with your application to sign the Bar book and receive your certificate to practice.Any attorney employed in the offices of the U.S. Attorney or the Federal Public Defenderwho is admitted to the bar of any state or territory of the U.S. or the District of Columbia may beadmitted to practice upon completion of the certification for federal government attorneys. Thecertification must be signed by the attorney and returned to the Clerk with a certificate of admissionor other confirmation of admission to the bar of a state, territory, or the District of Columbia. Uponreturn of the certification, the attorney will be notified to sign the Bar book. The fee waiverextended by Local Rule 83.01(a)(7) is effective only during the attorney222s employment with thespecified office.You must follow all the steps outlined above to be a member of the Bar of this Court. If youhave any questions regarding these procedures, please call the Clerk222s Office at (615) 736-5498. American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION FOR ADMISSION TO PRACTICE IN THEUNITED STATES DISTRICT COURT FOR THEMIDDLE DISTRICT OF TENNESSEEI hereby make application for admission to practice in the United States District Court for the MiddleDistrict of Tennessee and state that I am now a member in good standing of a state bar, the bar of a territory ofthe United States, or the bar of the District of Columbia, as identified below, and further represent that thestatements made hereinafter are true. Below are signatures of two members in good standing of the Bar of thisCourt who recommend my admission.Applicant222s Full Name: Office Name and Address*: Firm or Agency Name (and address below) Phone Number: Fax Number: E-Mail Address: *If applicant maintains an address in the Middle District of Tennessee, that address must also be provided, evenif it is not the applicant222s primary business address. Law School: Date of Admission to the Bar: Bar Admission Number: State or Territory Where Admitted**: **If applicant is not admitted to the Tennessee bar, a certificate of good standing from a U.S. District Court ora United States appellate court MUST be attached to this application per LR 83.01(a)(1).Additional Courts to Which I Have Been Admitted to Practice and Dates: Signature of ApplicantWe are members in good standing of the Bar of this Court and hereby recommend the admission of theabove-named applicant to the Bar of this Court.1. ; Member222s Name Date of USDC Admission Member222s Signature2. ; Member222s Name Date of USDC Admission Member222s Signature DO NOT WRITE BELOW THIS LINE Approval Letter sent to Applicant on: State Bar Information Verified by: Admitted before Judge: Introduced by: Date of Admission: American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATION FOR ADMISSION TO PRACTICEAS GOVERNMENT ATTORNEY IN THEU.S. DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE(This rule applies ONLY to Attorneys in the Offices of the U.S. Attorneyor Federal Public Defender for the Middle District of Tennessee)I hereby certify that I am now a member in good standing of a state bar, the bar of a territory of the UnitedStates, or the bar of the District of Columbia, as identified below, and further represent that the statements madehereinafter are true. Applicant222s Full Name: Office Name and Address: Firm or Agency Name (and address below) Phone Number: Fax Number: E-Mail Address: Employed by: G Office of the United States Attorney or G Office of the Federal Public DefenderLaw School: Date of Admission to the Bar: Bar Admission Number: State or Territory Where Admitted: A copy of my certificate of admission or other confirmation of admission is attached. I understand that the feewaiver extended under Local Rule 83.01(a)(7) is effective only during my employment with the specified office. I further understand that, to remain on the roll of the Court following my separation from the specified office, Imust pay the admission fee then in effect, and must otherwise be eligible to practice before the Court. Signature of AttorneyAPPROVED on .By: , Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com