Application For Admission To Practice
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1UNITED STATES COURT OF APPEALS FOR THE SEVENTH CIRCUIT
219 S. Dearborn Street
Chicago, Illinois 60604
APPLICATION FOR ADMISSION TO PRACTICE
Date of OUT OF COURT Admission: __________________________________
To be completed by Clerk’s Office personnel.
Date of IN COURT Admission: _________________________ Admitting panel: ______________________________________
Applicant Information (Please type or print neatly.)
APPLICANT’S NAME:____________________________________________________________________________________
SOCIAL SECURITY NUMBER: _____________________________________________________________________________
NAME OF FIRM OR AGENCY: _____________________________________________________________________________
BUSINESS ADDRESS: ____________________________________________________________________________________
_________________________________________________________________________________________________________
BUSINESS TELEPHONE NUMBER: ________________________________________________________________________
DATE FIRST ADMITTED (TO ANY BAR): ___________________________________________________________________
STATE(S) IN WHICH APPLICANT IS ADMITTED TO PRACTICE: _______________________________________________
________________________________________________________________________________________________________
HAVE YOU EVER RECEIVED ANY FORM OF DISCIPLINE (INCLUDING A PRIVATE REPRIMAND OR A SANCTION)
FROM A COURT OR A LAWYERS DISCIPLINARY AUTHORITY SINCE YOU WERE FIRST ADMITTED TO PRACTICE
LAW? ___________________________________________________________________________________________________
IF THE ANSWER IS OTHER THAN NO, PLEASE STATE ON AN ATTACHED SHEET WHAT HAPPENED AND INCLUDE
A COPY OF EACH RELEVANT ORDER.
Fee Information
Circuit Rule 46. Attorneys
(b) Admission Fees. The prescribed fee for admission is $15.00, except that attorneys who have been appointed by the district
court or this court to represent a party on appeal in forma pauperis, law clerks to judges of this court or the district courts, and attorneys
employed by the United States or any agency thereof need not pay the fee.
Checks should be made payable to the Clerk as “Trustee of the Lawyers Fund”.
Check applicable box(es):
9
9
9
Fee Enclosed
OR
Fee Waived:
Appointed counsel in this court
9
Attorney employed by federal government
I hereby certify that the above information is correct and complete. Further, I hereby certify that I have read the “STANDARDS FOR
PROFESSIONAL CONDUCT WITHIN THE SEVENTH FEDERAL JUDICIAL CIRCUIT” and agree to conduct myself in accordance
therewith. Finally, I solemnly swear that I will demean myself as an attorney and counselor of this court, uprightly and according to law;
and that I will support the Constitution of the United States.
____________________________________________________
(Signature of Applicant)
________________________________________________________________________________________________________
Sponsor Information
SPONSOR’S NAME: ______________________________________________________________________________________
WHEN ADMITTED TO PRACTICE: _________________________________________________________________________
WHEN ADMITTED TO THIS COURT: _______________________________________________________________________
I hereby vouch for the personal integrity and professional ethics of the applicant and respectfully move that said applicant be admitted
as an attorney and counselor of this court.
____________________________________________________
(Signature of Sponsor)
Reproduction of this form is authorized.
(April 2000)
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