Authorization Form - University Of Colorado Boulder
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1REQUEST FOR COLORADO BAR CERTIFICATION
The University of Colorado Law School will certify qualified graduates to the Colorado Board of Law Examiners
after all grades are final. If you are applying for admission to practice law in Colorado, please provide the following
information and sign the Authorization and Release below:
Applicant First Name: ________________________________________________________________________________
Applicant Last Name: ________________________________________________________________________________
Previous Name(s), If Applicable: _______________________________________________________________________
Email: _____________________________________________________________________________________________
Date of Bar Exam: ___________________________________________________________________________________
Dates of Attendance at Colorado Law: ___________________________________________________________________
Graduation Month/Year (or Intended Graduation Month/Year): ________________________________________________
Student ID Number: __________________________________________________________________________________
AUTHORIZATION AND RELEASE
I, _________________________________, born at ____________________________, on ___________________,
(Applicant's Name)
(City, State)
(Date of Birth)
am applying for admission to the Colorado bar. In connection with my application, I hereby request the University of
Colorado Law School to provide all information contemplated by the State of Colorado Supreme Court Board of Law
Examiners' Certificate of Law School Graduation (LX Form 5), including my law school application (and any related
amendments), to the Board of Law Examiners, and I hereby consent to the release of such information.
I authorize the University of Colorado Law School to conduct a character report and consent to have an
investigation made as to my moral character, professional reputation, and fitness for the practice of law and such other
information as may be received, all of which will be reported to the Colorado Supreme Court Office of Attorney Admissions.
I agree to provide any further information that may be required concerning my past record. I understand that the contents of
my character and fitness investigation are confidential and that I will not receive, and am not entitled to, a copy of the
investigation or to know its contents.
I also authorize the University of Colorado Law School to furnish to the Colorado Supreme Court Office of
Attorney Admissions any documents, records, or other information pertaining to me, including my law school application
and related amendments and any other documents, records, or files regarding charges or complaints filed against me, formal
or informal, pending or closed, or any other pertinent data. I also permit the University of Colorado Law School to inspect
and make copies of such documents, records, or other information, and on its own volition or in response to any inquiry from
any agency of the Colorado Supreme Court or of any other jurisdiction at any time in the future, to furnish to such agency
information, documents, or records contained in my file. The records, however, will not include any information with respect
to a juvenile offense.
I hereby agree that the University of Colorado Law School, and its employees and agents, shall be immune from all
civil liability for damages for conduct and communications occurring in the performance of and within the scope of their
official duties relating to the examination, character and fitness qualification, and licensing of persons seeking to be admitted
to the practice of law.
For the purpose of this Authorization and Release, the undersigned gives permission to use a photocopy of his/her
signature on this form as an original signature.
____________________________________
Signature of Applicant
____________________________________
Date
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