2. I Am a Law Student, and (Choose All That Apply.)

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2. I Am a Law Student, and (Choose All That Apply.)

Name

Address

City, State, Zip

Phone

Email

In the [ ] District [ ] Juvenile [ ] Justice Court of Utah

______Judicial District ______County

Court Address ______

Certificate of Eligibility and Permission to Participate in Court Proceedings (Supreme Court Rule of Professional Practice ______14-807) _ Plaintiff/Petitioner ______Case Number Approved Board of District Court Certificate of Eligibility and Permission to Participate Page 1 of 3 Judges January 22, 2015; Revised in Court Proceedings August 10, 2017 v. ______Judge ______Defendant/Respondent Commissioner (domestic cases)

1. (Choose one): [ ] I am currently enrolled in law school and I have completed at least two semesters of legal studies at an ABA approved law school or the equivalent (if the school is not on a semester basis). [ ] I am a law school graduate as defined under Supreme Court Rule of Professional Practice 14-807 (If selected, skip to signature section.).

2. [ ] I am a law student, and (Choose all that apply.): [ ] I will be participating in evidentiary hearings and have successfully passed a law school course in evidence. [ ] I will be participating in criminal evidentiary hearings and have successfully passed a law school course in criminal procedure.

Student or Graduate

Signature ► Date Student or Graduate’s Printed Name

Supervising Attorney I am a resident attorney admitted to practice law before this court. This student or graduate’s participation will be under my direct and immediate personal supervision and I will be present at the hearings required under Supreme Court Rule of Professional Practice 14-807.

Signature ► Date Supervising Attorney’s Printed Name

Client(s) [ ] I/We consent to this student or graduate’s participation in this matter.

Approved Board of District Court Certificate of Eligibility and Permission to Participate Page 2 of 3 Judges January 22, 2015; Revised in Court Proceedings August 10, 2017 Signature ► Date Client’s Printed Name

Signature ► Date Client’s Printed Name

Judge (Judge’s signature may instead appear at the top of the first page of this document.) I permit this student to participate in this matter consistent with Supreme Court Rule of Professional Practice 14-807.

Signature ► Date Judge’s Printed Name

Approved Board of District Court Certificate of Eligibility and Permission to Participate Page 3 of 3 Judges January 22, 2015; Revised in Court Proceedings August 10, 2017

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