Form 3 - Member Request For Continuing Legal Education Activity

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STATE BAR of GEORGIA
Form 3
COMMISSION
CONTINUING LAWYER COMPETENCY
ON
104 Marietta Street, NW
Suite 100
Atlanta, Georgia 30303
(404) 527-8710
R
M
S
B
G
A
EQUEST BY A
EMBER OF THE
TATE
AR OF
EORGIA FOR
PPROVAL OF A
C
L
E
A
ONTINUING
EGAL
DUATION
CTIVITY
1. Name of Attorney:
Bar #
Telephone:
2. Address:
Email:
3. CLE Sponsor Name:
4. Title of the CLE Activity:
5. Date of Seminar:
Location:
6. Please attach a course brochure. If not available, attach a schedule listing each topic and the time of each topic.
7. Requested (A) total CLE Hours and the portions of the total hours devoted to (B) Ethics, (C) Trial and
(D) Professionalism: (Please round the hours to the nearest on-tenth of an hour)
(A) ________ minutes = ___________ Total CLE Hours*
(Minimum of 12 hours
60
per calendar year)
(B) ________ minutes = ____________ Total Ethics Hours*
(Minimum of 1 hour
60
per calendar year)
(C) ________ minutes = ____________ Total Trial Hours*
(Minimum of 3 hours per calendar
60
year for each active member who appears
as sole or lead counsel in Superior or State
Court of Georgia in any contested civil or
criminal case)
(D) ________ minutes = ____________ Total Professionalism Hours*
(Minimum of 1 hour
60
per calendar year)
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, and (4) shows the time schedule for each topic, for breaks, for
lunch, etc.
B. A copy of the materials that will be (or were)distributed to each attendee. A submission of this form without
written materials will only delay the review process. In the event that this CLE activity is being offered by a
sponsor already accredited by the CCLC , you do not need to submit a copy of the materials at this time.
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 Rules and Regulations which can be found on the
website at .
9. The attorney understands that this is only a request for the approval of a CLE activity. If CLE credit is
approved, confirmation of the attorney's attendance should be submitted to the CCLC within 30 (thirty)
days after the CLE activity is held. The attorney should request that this be done by the sponsor, but in
the absence of sponsor confirmation, it may be done by the attorney. All confirmations should include the
attorney's name and his State Bar of Georgia membership number.

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