Form 9
STATE BAR of GEORGIA
COMMISSION on CONTINUING LAWYER COMPETENCY
104 Marietta Street
Suite 100
Atlanta, Georgia 30303
(404) 527-8710
REQUEST BY THE SPONSOR FOR APPROVAL OF A Self-Study
CONTINUING LEGAL EDUCATION ACTIVITY
PLEASE NOTE: Regulation #5 under Rule 8-106 (B) applies specifically to Self-Study CLE activities.
1. Name of Sponsor: ________________________________________________________________________
2. Name of Contact Person : _________________________________Telephone (
)_____________________
3. Sponsor's Full Address (Include Firm's Name): _______________________________________________________
___________________________________________________________________________________________
4. Title of the CLE Activity: ______________________________________________________________________
5. Date(s):
__________________________________________________________________________________
6. Format: _______________________________________________________________________________
7. The Sponsor's calculation of the requested number of (A) Total CLE Hours as well as the portions of the total hours
devoted to (B) Ethics and (C) Trial topics:
(A) ________ minutes = ____________ Total CLE Hours*
(Please round the hours to the
60
nearest one-tenth of an hour)
(B) ________ minutes = ____________ Total Ethics Hours*
60
(C) ________ minutes = ____________ Total Trial Hours*
60
(D) ________ minutes = ____________ Total Professionalism*
(Minimum of one (1) per
60
calendar year)
*PLEASE SEE THE BACK OF THIS PAGE FOR THE REGULATIONS ON THE COMPUTATION OF CLE HOURS.
8. Submit with this Request the following information:
A. A brochure or other such outline that (1) describes the course content, (2) identifies the faculty and
states their qualifications, (3) lists the topics by title.
B. One (1) copy of the materials that will be distributed to each attendee. A submission of this form without
written materials will only delay the review process. If no materials or only brief outlines will be provided,
please attach an explanation showing why this CLE activity meets the accreditation standards contained
in the enclosed Rules and Regulations.
9. The Sponsor agrees to furnish to the CCLC within 30 (thirty) days after this CLE activity the following:
A. Provide attorney with certificate of completion.
10. The Sponsor represents that it will:
A. Have experienced attorneys contribute to the teaching.
(continued on the reverse side)