<p>Name</p><p>Address</p><p>City, State, Zip</p><p>Phone</p><p>Email</p><p>In the [ ] District [ ] Juvenile [ ] Justice Court of Utah</p><p>______Judicial District ______County</p><p>Court Address ______</p><p>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)</p><p>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.). </p><p>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. </p><p>Student or Graduate </p><p>Signature ► Date Student or Graduate’s Printed Name</p><p>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.</p><p>Signature ► Date Supervising Attorney’s Printed Name</p><p>Client(s) [ ] I/We consent to this student or graduate’s participation in this matter.</p><p>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</p><p>Signature ► Date Client’s Printed Name</p><p>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.</p><p>Signature ► Date Judge’s Printed Name</p><p>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</p>
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