COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . Board .of. Law .Examiners ......... .. ....... . ..... ....... Appointed by the Supreme Court of Texas : Index No. REQUEST FOR APPLICATION MATERIALS : Calendar No. Submit this completed form with a $30.00 check. The deposit fee will be credited toward your application filing fee ONLY if you file a properly : JUDICIAL SUBPOENA completed application within one year from the date we receive your deposit. (Remember to deduct your $30 deposit from the fees owed if you Plaintiff(s) file your application within the one year allowable period!) Staple the deposit check to the lower right corner of this form. -against- : Return to: Board of Law Examiners, P. O. Box 13486, Austin, TX 78711. We will mail an application package to you within 10 business days after we receive this request. If a question is not applicable to you, write “n/a.” If additional space is needed, continue your responses on : the back of this sheet or on a separate sheet of paper. Please TYPE or PRINT your responses. : Your Name: Defendant(s) : ...................................................... Your Mailing Address: (including firm/company name, apt./ste.number, street address, city, state, and zip code) THE PEOPLE OF THE STATE OF NEW YORK TO Your Daytime Telephone: (_________) ____________________________ Social Security Number: _________________________ Your Fax Number: (_________) ____________________________ Date of Birth: __________________________________ GREETINGS: 1. Law School awarding your Juris Doctorate law degree: 2. Was your law school approved by the American Bar Association at the time your degree was awarded? 3. If you are licensed elsewhere, state where and how long you have practiced under that license: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before YES NO , the Honorable at the Court County of NOTE: If you answered “no,” please reviewlocated atXIII(a)(3)(C), XIII(b)(1)(B-C) and XIII(b)(2)(B-D) of the Rules Governing Admission Rules III, inBar of Texas. The ,Rules are posted (in of on the day downloadable format) on, the Interneto'clock in the , 20 at noon, and at any recessed to the room at www.ble.state.tx.us . or adjourned date, to testify and give evidence as a witness in this action on the part of the Jurisdiction(s): Number of Years of Practice: 4. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whosedisabilitythis subpoena was issued for a maximum penalty of $50 and all damages sustained as a If you are a person with a behalf who will be taking the Texas Bar Exam , result of need for testing accommodations? (circle one) do you have a your failure to comply. YES NO 5. Place a check beside the material you wish to be provided: Witness, Honorable Court in ___ In-state application County, , one of the Justices of the day of for students20 graduates of approved law schools in Texas who are not licensed , and Intended elsewhere. NOTE: you must have previously filed a Declaration of Intention to Study Law OR you must file the Declaration simultaneously with the In-state application. (Attorney must sign above and type name below) ___ General application Intended for out-of-state students, attorneys from other states and/or countries who qualify to take the Texas Bar Exam. Also applicable to out-of-state attorneys seeking Admission without Exam (also referred to as “admission on motion” or “reciprocal admission” ). ___ Re-application Intended for any person who previously applied to take the Texas Bar Exam andEITHER did not take it OR did not pass it. Also applicable to anyone who took and twice failed the Short Form Exam. NOTE: the Short Form Exam was repealed effective September 1, 1999. ___ Foreign Legal Consultant application Intended for foreign nation Office and P.O. Address attorneys seeking certification under Rule XIV of the Rules Governing Admission to the Bar of Texas. ___ Pro Hac Vice application Intended for non-resident attorneys seeking permission to participate in proceedings in a Telephone No.: Texas Court in a particular case. Facsimile No.: Attorney(s) for MAILING A DDRESS Post Office Box 13486 Austin, Texas 78711-3486 BLE-app request.pdf E-Mail Address: Mobile Tel. No.: TELEPHONE: 512-463-1621 ˜ FACSIMILE: 512-463-5300 ˜ W EBSITE: www.ble.state.tx.us STREET A DDRESS 205 West 14th Street, 5th Floor Austin, Texas 78701 American LegalNet, Inc. www.USCourtForms.com