Form 2-1 (Rule 50) Application for Admission as a Student-at- Under Section 40(1) of the Legal Profession Act

This application is made to the Executive Director of the for admission to the Law Society of Alberta as a student-at-law.

1. Name of Applicant: First Middle Last Mailing Address: City: Province: Postal Code: Telephone Number: Fax Number: E-Mail Address: Residential Address: (if different than above) City: Province: Postal Code: Telephone Number: Fax Number: Date of Birth: Place of Birth:

2. My name has been changed. (If "Yes", please explain on a separate attached page with a Yes No notarized official documentation of the change.) 3. (a) I have received or am entitled to receive in ______(year) a bachelor of degree Yes No or juris doctor degree from a faculty of common-law at a Canadian university, namely the University of ______. (b) I have received or am entitled to receive in ______(year) a degree Yes No or juris doctor degree from a faculty of at a Canadian university, namely the University of ______. (c) I have received or am entitled to receive in ______(year) a non-Canadian law Yes No degree from the University of ______. (d) I have asked the university from which I have obtained my law degree to send my Yes No official original transcripts directly to the Law Society. If "Yes" to (b) or (c) above, complete (i) below: (i) The Federation of Law Societies' National Committee on Accreditation (the Yes No NCA) has evaluated my law degree.

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Form 2-1 Law Society of Alberta Application for Admission as a Student-at-Law ______

4. I have pleaded guilty to or been found guilty of: (a) an indictable offence under any Act of the Parliament of Canada; Yes No (b) an offence under any Act of the Parliament of Canada where the offence was Yes No prosecutable either as an indictable offence or a summary conviction offence; (c) a summary conviction offence under the Income Tax Act, Criminal Code, the Yes No Narcotic Control Act, the Controlled Drugs and Substances Act or the Food and Drugs Act of Canada, or the Income Tax Act or Securities Act of any province of Canada; (d) a summary conviction offence under any other law in force in Canada punishable by Yes No a fine if the maximum fine for the offence was then at least $25,000; (e) an offence committed outside Canada and similar to any of the kinds of offences Yes No described in clauses (a) to (d); (f) I have received a pardon for an offence described in clauses (a) to (e). Yes No 5. I have pleaded guilty to or been found guilty of academic misconduct. Yes No I have pleaded guilty to or been found guilty of non‐academic misconduct. Yes No 6. There are proceedings currently pending in respect of charges against me for an offence of Yes No any of the kinds described in sections 4 or 5. 7. I am an undischarged bankrupt. Yes No 8. I have been a bankrupt. Yes No 9. I am a judgment debtor. Yes No 10. I have had a civil judgment made against me relating to fraud. Yes No 11. I have disobeyed an order of a court. Yes No 12. I have previously used a name other than that shown in this application. Yes No 13. I am, or have been, a member of an extraprovincial law society or otherwise entitled to Yes No practise law in a jurisdiction outside Alberta. (If applicable, provide a Certificate of Standing from any such jurisdictions.) 14. I have been found guilty in a disciplinary or unauthorized practice proceeding instituted Yes No against me by an extraprovincial law society or as a member of any other professional organization. 15. There are disciplinary or unauthorized practice proceedings pending against me by an Yes No extraprovincial law society or by any other professional jurisdiction. 16. I have been, or am currently, the subject of a suspension, investigation, supervision, Yes No undertaking, conditions, insurance claim (self-reported or otherwise) or similar process including but not limited to Conduct, Audit, Practice Review, or competence related proceedings by direction of a governing body of the legal profession in a jurisdiction other than Alberta. 17. I have been refused registration as a student-at-law or articled law clerk in a jurisdiction Yes No outside Alberta. 18. I have been refused membership in an extraprovincial law society or refused a license or Yes No other authorization to practise law in a jurisdiction outside Alberta. 19. I have had a claim paid by a current or previous errors and omissions insurer as a result of Yes No my negligence in my capacity as a or a claim under such insurance is pending against me.

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Form 2-1 Law Society of Alberta Application for Admission as a Student-at-Law ______

20. (a) I have reviewed the current provisions dealing with competence in the Code of Yes No Conduct for the Law Society of Alberta, in its entirety; (b) There are events, circumstances or conditions, other than those mentioned above, Yes No that are potentially relevant to my competence to practise law (as competence is used in the Code of Conduct), including, without limitation, circumstances relating to mental or physical disability or substance abuse. 21. Full particulars in regard to any affirmative statement made in sections 4 to 20 (other than Yes No paragraph 20(a)) inclusive accompany this application. 22. I hereby promise the Society that I will at all times while registered with the Society as a student-at-law faithfully and to the best of my ability perform my obligations as a student-at-law under my articles of clerkship and under the Legal Profession Act, the Rules of the Society and any code of ethical standards authorized or established by the Benchers of the Society. 23. I hereby authorize the Society to make enquiries of any person or government, any official or body, including, without limitation, any police or academic authority, with regard to my background or character. I hereby consent to any such person or government, or official or body, disclosing to the Law Society any such information necessary for it to process my application for admission or for it to carry out other regulatory functions or responsibilities. On request by the Executive Director, I will furnish any additional specific authorization or any release that is required for the purpose of enabling the Society to obtain information related to my background or character.

DECLARATION

I, ______solemnly declare that all information provided by me in this application or supplemental thereto, and in the documents furnished in connection with this application, is true, and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

Declared before me ) at: ______) on ______) ) ) )

A Commissioner for Oaths for the Province of Alberta ) Applicant’s Signature (Out-of-Province Applicants – please declare this document before a Notary Public) )

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