Fill - Free fillable 2020FebFirstTime.Complete.fillable.4.3.19 - PetitionforAdmissionMotion3.13.17.1 PDF form

Petition for Admission by ExamFirstTime

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Revisions9.19SJCbbe

Instructions

Petition for Admission By Examination to be

held on February 25th and 26th, 2020

General Information:

Eligibility: Supreme Judicial Court Rule 3:01, §3, establishes eligibility. See Massachusetts Rules of

Court.

When Is The Exam: Tuesday and Wednesday, February 25th and 26th, 2020. Deadline to Petition

for Admission By Examination is Friday December 6, 2019.

Where Is The Exam: There are two locations. Read criteria for Springfield location.

• Boston: Hynes Convention Center (Hynes), 900 Boylston Street, Boston, MA 02115, 617-954-2000 or

https://signatureboston.com/bcec/getting-here. Public transportation and parking is available. For lodging,

call the Office of Travel & Tourism: 1-800-447-MASS or www.massvacation.com.

Information regarding discounted lodging for bar examinees will be posted at:

About the bar exam in Massachusetts.

• Springfield: Western New England University School of Law in Springfield, MA seating is limited (based

on a first come, first served). The Springfield Seating Request must be submitted directly to the Board of Bar

Examiners immediately (before the filing deadline) at:

*Email To: info@bbe.state.ma.us

Writing The Exam: Handwriting or

Laptop Computer Testing (LTP): To be eligible for LTP, you must

review, complete and comply with the Laptop Computer Testing Program requirements. The Multistate Bar

amination (MBE) portion of the exam is not available on computer.

Nonstandard Testing: If you have a disability, as defined by the Americans with Disabilities Act

(ADA), that will require nonstandard testing accommodations on the bar examination, you must complete

and file all Nonstandard Testing Accommodations (NTA) Application forms. The Petitioner and

professionals must complete these forms to provide the Board with details and documentation relating to the

disability.

Testing: Massachusetts administers the Uniform Bar Examination (UBE) which consists of the Multistate

Performance Test (MPT), the Multistate Essay Examination (MEE) and the Multistate Bar Examination

(MBE). Tuesday, the MPT and MEE will be administered. Wednesday, the MBE will be administered.

Taking the Exam Concurrently in Another Jurisdiction: If you apply concurrently (sitting for the exam

outside of

Massachusetts)

in another Juri

iction,

your obligation to request the NCBE transfer your

UBE Score Transcripts directly to Massachusetts. The request is made directly to NCBE immediately

after sitting for the examination. You are required to receive confirmation that the NCBE will send your

UBE transcripts within five days of the release of exam results from your

sitting jurisdiction. Failure to

do so will jeopardize your Petition for Admission.

Nonstandard Testing Accommodations Application must be submitted in duplicate to the Board of Bar

Examiners before the deadline. Do not include this application with your Petition for Admission.

Send by postal mail to the: Board of Bar Examiners, John Adams Courthouse, One Pemberton Square,

Suite 5-140, Boston, MA 02108.

Petition for Admission by ExamFirstTime

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Revisions9.19SJCbbe

When to file a Petition for Admission by Examination held in February 2020:

Friday, December 6, 2019 (received on or before - not pos

tmarked)

Information

you will need to Petition for Admission by Examination

• Valid em

ail address

• NCBE number

• Surname Inform

ation - date, location, and reason for change

• Address history for previous 5 years, including dates

• Education history including all disciplinary actions and applicable records

• Employment (legal and other) history since the age of eighteen (18) with dates of employment,

employer reference, and reason for leaving

• Dates of all other applications and admissions to jurisdictions

• Dates of all Professional licenses applications (other than as an attorney)

• Appointed, Elected or Judicial appointments

• Professional discipline - other than attorney discipline - (charges, grievances, suspensions, etc.)

and applicable records

• Legal practice discipline (charges, grievances, suspensions, etc.) and applicable records

• Legal Proceedings (civil, administrative, criminal, financial, charges, grievances, suspensions, etc.)

and applicable records

Documents you are required to attach to your Petition for Admission by Examination:

Assemble the following documents.

• Law School Certificate

• MPRE Score Report You may request a copy of your MPRE Score Report by contacting the National

Conference of Bar Examiners (NCBE) via email at score.services@ncbex.org or visit their website at

www.ncbex.org . You can also contact NCBE at 608-280-8550.

If you have not previously taken the MPRE, you must take and achieve a scaled MPRE score of

85 or greater prior to filing a Petition for Admission.

• Two Letters of Recommendation You must adhere to the strict protocol required for the Letters of

Recommendation. See the Guidelines for Letters of Recommendation for additional

information.

• Certificates o

f Admission and Good Standing and Grievance Letters

• Current (dated within 90 days of filing) Certificate(s) of Admission and Good Standing from

the highest judicial court of each state, district, territory, province or foreign country to which you

are admitted.

• Current (dated within 90 days of filing) Grievance Letter from the grievance or disciplinary

entity of each state, district, territory, province or foreign country to which you are admitted,

indicating that there are no charges pending against you.

• The Registration and St

atement of Compliance, if participating in the Laptop Testing Program

(LTP).

• Statement of Detai

ls, to certain responses, if applicable.

Petition for Admission by ExamFirstTime

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Revisions 9.19SJCbbe

• Records of any Legal Practice discipline (charges, grievances, suspensions, etc.), if applicable.

• Records of any Professional (

other than attorney) discipline (charges, grievances,

suspensions, etc.), if applicable.

• Records of any Legal Proceedings (

civil, administrative, criminal, financial, charges, grievances,

suspensions, etc.), if applicable.

Filing Instruction

• Complete and sign the Petition for Admission by Examination, and verify that:

o You meet the eligibility requirements under Supreme Judicial Court Rule 3:01, §3.

o Each and every question, including dates, is fully answered;

o Complete details are provided;

o Each "yes” or “no” question has a “yes” or “no” response;

o Rider pages, if applicable, are typed with your name (printed) and signed; and,

o Pages requiring your signature are signed (photocopies are not accepted).

• Attach all required documents, riders and records to the Petition. Do not staple. Questions regarding

this may be directed to the Attorney Services Department of the Clerk for the County of Suffolk at 617-

557-1050.

• Filing Fee: $815.00 OR $890.00 (including the technology fee) payable to the Commonwealth of

Massachusetts in the form of a certified bank check or money order. No personal or firm checks will be

accepted.

• Send completed Petition, fee and all attachments by mail or in-person on or before the deadline, Friday

December 6, 2019 to: Note: The office will NOT confirm receipt of your Petition. Do NOT call the Court

(see Notifications below).

Supreme Judicial C

ourt for the County of Suffolk

Clerk Maura S. Doyle

John Adams Courthouse

One Pemberton Square, Suite 1300

Boston, MA 02108-1707

Notifications by E-M

ail ONLY: The Supreme Judicial Court will e-mail notification when the Petition is

docketed and referred to the Board of Bar Examiners (BBE). The BBE will e-mail site, seating and other

pertinent information approximately 2-3 weeks prior to the examination.

Questions rega

rding these filing requirements may be directed to the Supreme Judicial Court Clerk’s Office

for Suffolk County at 617-557-1050, unless otherwise stated. You may also refer to the FAQs for further

guidance.

Questions rega

rding the content of the Petition for Admission may be directed to the Board of Bar

Examiners at (617) 482-4466.

Petition for Admission to the

Massachusetts Bar

BY EXAMINATION

FIRST TIME

COVER SHEET

Complete

and File with

your Petition

Responses

are MANDATORY.

legibly.

Last Name: ________________________ First Name: _________________ Middle Name: ________

Address: _____________________________________________________________________________

City: ___________________________ State: _____________ Zip: _______ Zip Ext: ______

Country: ________________________

Primary Phone No.: _____________________________ E-m

ail: ______________________________

Personal Identifying Information (Not available to the public):

City of Birth: __________________________________ State of Birth: ______________________________

Country of Birth: _______________________________ Date of Birth: _______________________________

Parent(s) Maiden Name: _________________________ Social Security No.: __________________________

NCBE No.: ___________________________________

Are you using your Laptop for the essay portion of the

exam? Yes _____ No _____

When did you sit for the MPRE? ___________________ What was your MPRE Score? __________________

Graduating Law School : __________________________ Law School Date of Graduation: ________________

Are you applying for the Uniform Bar Examination (UBE)

concurrently in another jurisdiction?

Yes ______ No ______ Where are you sitting for the UBE? _____________

If you are sitting concurrently for the UBE in a different jurisdiction, you are responsible to request the National Conference of Bar

Examiners (NCBE) transfer your UBE Score to Massachusetts.

Indicate the required documents listed below that are attached to this mandatory Cover Sheet.

All signatory documents must be original. Photocopies are NOT accepted. Documents are

NOT ACCEPTED

separately.

PETITION FOR ADMISSION requiring dates and original signatures (Page 2: your original signature and the

recommending attorney's original signature; Page 12; and, Page 13). (Photocopies are NOT accepted.

LAW SCHOOL CERTIFICATE

(Photocopies are NOT accepted)

MPRE SCORE REPORT (indicating your NCBE Number).

2 (TWO) current LETTERS OF RECOMMENDATION (Photocopies are NOT accepted)

CERTIFICATE OF ADMISSION AND GOOD STANDING, if applicable, from each jurisdiction to which you are

admitted with applicable Grievance Letters (Photocopies are NOT accepted)

LAPTOP COMPUTER REGISTRATION & STATEMENT OF COMPLIANCE, if applicable, with the technology fee

of $75.00 in the form of a MONEY ORDER or BANK CHECK (NO Personal Checks) made payable to the

Commonwealth of Massachusetts.**

FEE in the form of a MONEY ORDER or BANK CHECK (NO Personal Checks) payable to the Commonwealth

of Massachusetts in the amount of $815.00.

** If applicable COMBINE the filing fee and technology fee into a single payment of $890.00 in the form of a bank check or money

order payable to the Commonwealth. Please take notice, all fees are non-refundable and non-transferable.

Page 1 of 13

CIVIL NO.

SUFFOLK, SS.

IN THE MATTER OF

Full Name

PETITION

FOR ADMISSIO

N TO THE BAR

OF THE COMMONWEALTH OF MASSACHUSETTS

BY EXAMINATION

Pursuant

to Supreme Judicial Court Rule 3:01

FIRST TIME

Petition Filed

(Court Use Only)

AdmissiononMotionRev01.2018

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THE COMMONWEALTH OF MASSACHUSETTS

Suffolk, SS. Supreme Judicial Court For Suffolk County

PETITION FOR ADMISSION TO THE BAR OF THE COMMONWEALTH OF MASSACHUSETTS

By Examination

I, ___________________________________________________ hereby petition for admission to the bar of the

Commonwealth. I acknowledge this is an action at law and subject to public access.

∗

I further acknowledge that I have

received notice that certain public case information may be provided electronically to third parties after the execution of a

Non-Disclosure Agreement.

I represent that I am of good moral character and over the age of eighteen years, having been born on

____________________________. I request that I be examined for admission as an attorney. Upon passing the

Uniform Bar Examination, and the Massachusetts Law Component, and, having the good moral character, acquirements

and qualifications, if found qualified by such, I request to be admitted as an attorney.

Petitioner Signature: ___________________________________________________________

Address: ____________________________________________________________________

City: ___________________

State: _____________

Zip: ___________

Ext: ______

Email Address: _________________________

Telephone No.: _______________________

NCBE No.: __________________________

Date:___________________

RECOMMENDATION OF A MEMBER OF THE BAR OF THE COMMONWEALTH OF MASSACHUSETTS OR OF ANY

STATE, DISTRICT OR TERRITORY OF THE UNITED STATES

(Supreme Judicial Court Rule 3:01, subsection 1.2.1)

I,____________________________________________________ , an attorney of the bar of ___________respectfully

recommend that the foregoing petition be granted, and certify that the petitioner is of good moral character.

Attorney Signature: ______________________________________________________________________

Business Name and Address: _____________________________________________________________

City: ___________________

State: _____________

Zip: ___________

Ext: ____

Email Address: _________________________

Telephone No.: ____________________

Attorney Registration No.____________

Registration Status: ________________

Date: ________________________________

∗

In accordance with M.G.L. c. 93H, personal identifying information is safeguarded to protect the risk of identity theft or fraud.

Page 3 of 13

The Commonwealth of Massachusetts

Suffolk, SS Supreme Judicial Court For Suffolk County

In the matter of

Petition for Adm

ission to the Bar of the Commonwealth of Massachusetts

by Examination

to be held on _______________________________________________

PETITIONER'S STATEMENT

Contact Information

Last Name:

First Name: Middle Name:

Address:

City:

State: Zip: Zip Ext:

Country:

Primary Phone No.: E-mail:

Personal Information

City of Birth: State of Birth:

Country of Birth:

Date of Birth:

NCBE No.:

Social Security No.:

(last four digits: xxx-xx-1234)

Surname Information

Have you ever been known by any other name? Yes No

If yes, provide the following former name information:

Last Name: First Name: Middle Name:

Date of Name Change:

Reason for Change: Place of Name Change:

(i.e. Marriage) (i.e. City, State)

Do you have additional surnames? Yes No

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

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Last Name: First Name: Middle Name:

Parental Information

Parent One:

Last Name:

First Name:

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Parent Two:

Last Name:

First Name:

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Residential Information

State every residence you have had during the last five years. Begin with your current residential

address:

(a)

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

From: To:

(b)

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

From: To:

(c)

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

From: To:

(d)

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

From: To:

(e)

Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

From: To:

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

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Last Name: First Name: Middle Name:

Education

Law School: Provide your law school education. Complete the section below. Do not leave blank.

(a)

Law School Conferring Degree:

Law School Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Attendance From:

Date of Graduation: __________

Attendance To: Degree Awarded:

(b)

Secondary Law School:

Law School Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Attendance From: Attendance To: Degree Awarded:

Other Education: Colleges and universities. Complete the section below. Do not leave blank.

(a)

Name of School:

School Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Attendance From: Attendance To:

Degree Awarded:

(b)

Name of School:

School Address:

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Attendance From: Attendance To:

Degree Awarded:

Academic Information: Do not leave blank.

Have you ever been reprimanded, sanctioned, disciplined, suspended, or expelled from a college,

university or law school? Yes No

If yes, provide a statement of details.

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Employment

Have you ever been a member of the Armed Services? Yes __________ No __________

If yes, state the type of discharge. If dishonorably discharged, state circumstances surrounding your release

and the details thereof, where the record can be obtained, your service number and rank, and the branch and

dates of actual service. ____________________________________________________________________

________________________________________________________________________________________

Page 6 of 13

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________

General Employment

List any employment you have held since your 18th birthday. Include self-employment, part or full time

employment, legal employment, and if applicable, any military service. Begin with your current employment.

(a) Name of Employer/Firm: __________________________________________________________________

(i.e., administrative, medical, sales, retail, etc.)

Position Held: ___________________________________________________________________________

Employed From: _____________________________ Employed To: _______________________________

Reason for Leaving: ______________________________________________________________________

Employer Reference: _____________________________________________________________________

Address: ________________________________________________Website:________________________

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Nature of Business: _______________________________________________________________________

(b) Name of Employer/Firm: __________________________________________________________________

(i.e., administrative, medical, sales, retail, etc.)

Position Held: ___________________________________________________________________________

Employed From: _____________________________ Employed To: _______________________________

Reason for Leaving: ______________________________________________________________________

Employer Reference: _____________________________________________________________________

Address: ________________________________________________Website:________________________

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Nature of Business: _______________________________________________________________________

Employment Information

Have you ever been terminated, or resigned in lieu of termination, from any position?

Yes _____ No _____

If yes, attach a statement of details with applicable records.

(i.e., administrative, medical, sales, retail, etc.)

Position Held: ___________________________________________________________________________

Employed From: _____________________________ Employed To: _______________________________

Reason for Leaving: ______________________________________________________________________

Employer Reference: _____________________________________________________________________

Address: ________________________________________________Website:________________________

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Nature of Business: _______________________________________________________________________

Other Applications for Admission

Have you previously applied for admission as an attorney in Massachusetts? Yes ______ No ______

State every jurisdiction you have applied for admission to the Bar. Include admission by examination, on

motion, any other manner of application for admission, and applications for reinstatement or withdrawal. Do not

leave blank. You must indicate if a response is not applicable.

Date of Application: _____________________ Application Type: _________________________

(Examination, Motion, etc.)

Dates of Examination: ___________________ Result of Examination: _____________________

(pass, fail, etc.)

Disposition: ___________________________

(b) Jurisdiction: ____________________________

Date of Application: _____________________ Application Type: _________________________

(Examination, Motion, etc.)

Dates of Examination: ___________________ Result of Examination: _____________________

(pass, fail, etc.)

Disposition: ___________________________

Date of Application: _____________________ Application Type: _________________________

(Examination, Motion, etc.)

Dates of Examination: ___________________ Result of Examination: _____________________

(pass, fail, etc.)

Disposition: ___________________________

(d) Jurisdiction: ____________________________

Date of Application: _____________________ Application Type: _________________________

(Examination, Motion, etc.)

Dates of Examination: ___________________ Result of Examination: _____________________

(pass, fail, etc.)

Disposition: ___________________________

Page 7 of 13

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Last Name: ___________________ First Name: ___________________ Middle Name: _______________

(a) Jurisdiction: ____________________________

Page 8 of 13

____________________

Last Name: First Name: Middle Name:

Other Admissions

State each jurisdiction and court in which you have been admitted to practice law and provide the requested

information below. Do not leave blank. You must indicate if a response is not applicable. Attach a Certificate of

Admission and Good Standing with applicable Grievance letter (dated within 90 days of this Petition).

(a)

Jurisdiction: Date of Admission:

Bar Registration No:

If applicable, which Court(s) within this Jurisdiction are you admitted?

Where have you engaged in the actual practice or teaching of law?

What is the nature of your practice or teaching of law?

The nature of your practice or teaching of law has continued

From: To:

(b)

Jurisdiction: Date of Admission:

Bar Registration No:

If applicable, which Court(s) within this Jurisdiction are you admitted?

Where have you engaged in the actual practice or teaching of law?

What is the nature of your practice or teaching of law?

The nature of your practice or teaching of law has continued

From: To:

(c)

Jurisdiction: Date of Admission:

Bar Registration No:

If applicable, which Court(s) within this Jurisdiction are you admitted?

Where have you engaged in the actual practice or teaching of law?

What is the nature of your practice or teaching of law?

The nature of your practice or teaching of law has continued

From: To:

Has your authorization to practice in any Jurisdiction/Court ever been interrupted since the date of your

Admission? Yes

If yes, attach a statement of details with applicable records.

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Professional Information

Have you ever filed any application for an official position or for professional licensure, other than as an

attorney, that required proof of good character? Yes __________ No __________

If yes, provide the following information:

(a) Official License/Position: _____________________ Licensing Authority: __________________________

(i.e., CPA)

Date of Application: ________________________

Dates of Examination: ______________________ Result of Examination: _______________________

(pass, fail, etc.)

Disposition: _______________________________ Date of License/Position: _____________________

(b) Official License/Position: ____________________ Licensing Authority: _________________________

(i.e., CPA)

Date of Application: ________________________

Dates of Examination: ______________________ Result of Examination: _______________________

(pass, fail, etc.)

Disposition: ______________________________ Date of License/Position: _____________________

Have

you ever held any license, othe

r than as an

attorney, wh

ich required

proof of goo

d character?

Yes __________ No _________

If yes, provide the follo

wing information:

(a) License Type: _____________________________ State: _____________________________________

Authorizing Office: _____________________________________________________________________

Office Address: ________________________________________________________________________

Date License was Granted: __________________ License Status: _____________________________

(b) License Type: _____________________________ State: _____________________________________

Authorizing Office: _____________________________________________________________________

Office Address: ________________________________________________________________________

Date License was Granted: __________________ License Status: _____________________________

Have

you ever held any elected, app

ointed or jud

cial off

ce?

Yes ____

______ No ________

If yes, provide the follo

wing information:

(a) Elected/Appointed/Judicial Office: _________________________________________________________

(i.e., 1st Circuit Court Clerk, etc.)

Address: _____________________________________________________________________________

(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)

Served From: ______________________________ Served To: _______________________________

Reason for Leaving: ____________________________________________________________________

Page 9 of 13

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Last Name: ___________________ First Name: ___________________ Middle Name: _______________

Do you have any additional elected, appointed or judicial office positions to add? Yes ______ No ______

Page 10 of 13

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Last Name: First Name: Middle Name:

Professional Information (continued)

Have any charges, grievances or complaints ever been made concerning your conduct as a member of any

profession, other than an attorney, or as a holder of any public office? Yes No

If yes, provide the following information:

(a)

License Type: State:

Authorizing Office:

Dates of Complaint: Complaint Status:

Reason for the Complaint:

(b)

License Type: State:

Authorizing Office:

Dates of Complaint: Complaint Status:

Reason for the Complaint:

Have any of your licenses or

positions ever been suspended or revoked as a member of any profession,

other than an attorney, or as a holder of any public office? Yes

If yes, provide the following information:

(a)

License/Position: State:

Authorizing Office:

Date of Suspension/Revocation: License Status:

Reason for Action Taken:

Attach a statement of details with applicable records.

(b)

License/Position: State:

Authorizing Office:

Date of Suspension/Revocation: License Status:

Reason for Action Taken:

Attach a statement of details with applicable records.

ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.

Last Name: First Name: Middle Name:

Page 11 of 13

Practice of Law Information

Have you ever been charged with or been the subject of any investigation pertaining to the unauthorized

practice of law? Yes No

If yes, attach a statement of details with applicable records.

Have any charges, grievances or complaints ever been made concerning your conduct as an attorney?

Yes No

If yes, attach a statement of details with applicable records.

Have you ever been disbarred, suspended, reprimanded, censured, admonished or otherwise disciplined or

disqualified as an attorney? Yes

If yes, attach a statement of details with applicable records.

Legal Proceedings

Have you ever been a party on either side in a civil action, or a proceeding involving a claim of fraud,

conversion, breach of fiduciary duty, professional malpractice or other wrongful conduct?

Yes

If yes, attach a statement of details with applicable records.

Have you ever been a party, other than as representing counsel, in any other legal or administrative

proceedings? Yes No

If yes, attach a statement of details with applicable records.

Have you ever been charged with or been the subject of any investigation for a felony or misdemeanor other

than a minor traffic charge? Yes No

If yes, attach a statement of details with applicable records.

Have you ever been adjudged bankrupt or insolvent? Yes No

If yes, attach a statement of details with applicable records.

Are there any unsatisfied judgments or any court orders of continuing effect against you?

Yes No

If yes, attach a statement of details with applicable records. Include names and addresses of creditors,

amounts, dates and the nature of the debts, judgments or any non-compliance with court orders.

You must respond to all questions. You must indicate if a response is not applicable. The Petition for

Admission will be delayed without any further action for failure to respond.

Last Name: First Name: Middle Name:

Examination Information

Requirements

•

Chronology beginning with most recent issue;

•

Narrative with dates stating the facts;

•

Names and locations of court, tribunal or record of

authority (if any);

•

Case numbers, references to court records or account

numbers;

•

Names and addresses of all persons and parties involved,

including all counsel; and,

•

The current disposition of the matter.

Certificate

I understand that I am obligated, by the Board of Bar Examiners Rule V.1.2., to file in writing with the Clerk's Office of the

Supreme Judicial Court for the County of Suffolk any changes or additions

to answers that I have made on this Petition.

I understand that this obligation shall continue until I am admitted to the practice of law in the Commonwealth of

Massachusetts, or until such time as my Petition is withdrawn or denied by the Supreme Judicial Court.

I understand that my failure or refusal to supply information deemed relevant by the Board of Bar Examiners

may be grounds for denial of a recommendation for admission.

I, the Petitioner, certify that each of the foregoing answers are true, complete and candid and that I have not

altered the wording of any question.

I further certify that I have answered all questions and have attached rider pages with statements of details for

any applicable response within this Petition.

Petitioner’s Signature: Date:

Are you applying this Uniform Bar Examination (UBE) concurrently with other

jurisdiction(s)?

Where are you sitting for the UBE? Massachusetts OR concurrent jurisdiction?

Your UBE seating is assigned by your response above. You cannot change where

you are sitting for the UBE. Do you understand?

If you are sitting for the UBE outside of Massachusetts (see response above),

When did you sit for the Multistate Professional Responsibility Examination (MPRE)?

What was your MPRE Score?

Have you attached an official or unofficial MPRE Score Report?

Have you attached your law school Certificate?

Have you attached the Registration and Statement of Compliance, if participating in the

LTP?

Have you attached two current (dated within six months) letters of recommendation?

Have you attached a Certificate of Admission and Good Standing with applicable

Grievance letter (dated within 90 days) from every jurisdiction and court you are

admitted?

If you answered No for any requirement, provide an explanation?

Page 12 of 13

• Do you acknowledge it is your obligation (post examination) to immediately

request the NCBE send your UBE Score to Massachusetts directly

following the release of the results from your sitting jurisdiction?

Are you participating in the Laptop Computer Testing Program (LTP) to use your

Laptop for the written portion of the exam?

All responses within this Petition for Admission are mandatory. The Petition for Admission will be delayed

without any further action for failure to respond. The statement of details, as required by certain responses,

must provide the following:

Statement of Details

Yes ____ No _____

Jurisdiction: ______

Yes ____ No _____

Date: ___________

Score: ___________

Yes ____ No _____

(e.g NCBE provided the MPRE Score Report)

mm/yyyy

e.g. NY

Page 13 of 13

Last Name: First Name: Middle Name:

Commonwealth of Massachusetts

Board of Bar Examiners

AUTHORIZATION

First Name Middle Name Last Name

residing at:

Address Line 1:

Address Line 2:

City: State: Zip: Zip Ext:

and born on , having filed a Petition for admission to the bar of the

(Date of Birth)

Commonwealth, hereby consent to have an investigation made as to my moral character, professional

reputation, and fitness for the practice of law.

I hereby authorize every person, firm, company, corporation, governmental agency, law enforcement

agency, court, bar association, or institution having control of any documents or records regarding charges

or complaints filed against me, including any complaints expunged by law, whether formal or informal,

pending or closed, or any other pertinent data to provide them to the Massachusetts Board of Bar

Examiners.

Petitioner’s Signature: Date:

THE COMMONWEALTH OF MASSACHUSETTS

SUFFOLK, SS.

Supreme Judicial Court for The County of Suffolk

Law School Certificate

(To be completed by the law school from which applicant graduated.)

Improperly completed certificates will not be accepted and will be returned to the law school or applicant.

In the matter of the application for admission as attorney of:

Month and Year of Birth

(Name)

(Address – include city, state and zip code)

I certify that the above-named applicant:

A) was a member of the: (Law School)

which is is not approved by the American Bar Association.

B) attended the: Day Evening program

from to

(month, day, year) (month, day, year)

C) to the best of my belief the applicant was in regular attendance at this school during that period.

D) has furnished evidence to this school of a college education as follows:

(Undergraduate School and Degree)

E) has graduated from Law School on the

day of in the year

(Day) (Month ) (Year)

with the degree of (JD)

(degree)

F) I understand that you expect me to report to you by simultaneous separate communication anything which

appears to me to be adverse in respect of the moral character or fitness to practice law of the applicant or anything

which, in my opinion, should be investigated by the Board with respect thereto.

(Signature) (Title) (State Registration # -- if any)

PRINT NAME AND TELEPHONE NUMBER:

(Name and Address of Law School)

Dated:

THIS FORM MUST BE AN ORIGINAL AND MAY NOT BE FAXED, PRE-DATED OR AMENDED.

If the applicant has graduated on or after the filing deadline, a Law School Certificate must be filed with the

Clerk’s Office no later than fourteen (14) days from the date of graduation. THERE ARE NO EXCEPTIONS.

(10)

Commonwealth of Massachusetts

Supreme Judicial Court Board

of Bar Examiners

REGISTRATION FORM

LAPTOP COMPUTER TESTING PROGRAM

I, , elect to participate in Laptop Computer Testing Program for the essay

(Last Name, First Name & Middle Name) portion of the Massachusetts Bar Examination.

I understand that I must provide my own laptop computer and comply with ExamSoft Minimum System Requirements.

I understand that, to register, this completed Registration Form, the fee of $75.00 in the form of a bank check or money

order payable to the Commonwealth of Massachusetts, and the signed Statement of Compliance, must be received (not

postmarked) by the Court, with my bar application on or before the bar application filing deadline.

I understand that this completed Registration Form will be provided to ExamSoft Worldwide, Inc. (ExamSoft), the

vendor corporation that will be responsible for the technological implementation of this program.

I understand that, as a requirement of participation in this program, I will pay directly to ExamSoft a separate and

additional fee of $100.00. I will be contacted by ExamSoft after ExamSoft has received documentation from the Board

of Bar Examiners confirming my participation in the program and will be billed directly by ExamSoft for the $100.00

fee.

I understand that I must complete all procedures, including the mock exam, required by ExamSoft. I am aware that the

software may not be used with personal computer (PC) emulation software.

I understand that I am solely responsible for reading carefully all of the information provided to me relative to my

participation in this laptop computer testing program and for adhering to all rules and regulations associated with the

laptop computer testing for the essay portion of the bar examination.

I understand that failing to comply with these instructions or to meet a deadline will render me ineligible for the

program.

Signed:

Date:

FULL NAME (as it appears on your Bar Application):

Last Name, First Name & Middle Name

COMPLETE

ADDRESS:

Address 1

Address 2

City, State, Zip Code

TELEPHONE NUMBER(S):

Day & Evening Telephone

*EMAIL ADDRESS (REQUIRED):

E-Mail Address (as it appears on your Bar Application)

Include the completed Registration Form, Statement of Compliance, and the technology fee of $75.00 made payable to

the Commonwealth of Massachusetts in the form of a money order or bank check (no personal checks) with your

completed bar application at the address below by the filing deadline.

Supreme Judicial Court for The County of Suffolk

Clerk Maura S. Doyle

John Adams Courthouse

One Pemberton Square, Suite 1300

Boston, MA 02108

Commonwealth of Massachusetts

Board of Bar Examiners

STATEMENT OF COMPLIANCE

LAPTOP COMPUTER TESTING PROGRAM

I, , elect to participate in the Laptop Computer Testing Program

(Last Name, First Name & Middle Name (Bar Applicant)

for answering the essay portion of the bar examination using my own laptop computer.

I understand that

I am required to pay to the Commonwealth of Massachusetts a non- refundable technology fee of

$75.00 and a software license and service fee of $100.00 directly to ExamSoft, Inc.

I understand and agree to the terms and conditions set forth below, in addition to those set out in the Notice to Bar

Applicants Laptop Computer Testing Program and Laptop Computer Testing Program Registration Form.

I am responsible for correctly pre-installing required software from ExamSoft, Inc. for use during the essay portion of

the bar exam. I will follow the procedures set out at www.examsoft.com/mabar

and agree to be bound by ExamSoft’s

terms and conditions, as listed on its website.

2. The Board of Bar Examiners (Board), its staff and ExamSoft, are not liable for technical difficulties that occur when

using a laptop computer during the bar examination including, but not limited to: hardware or software malfunctions;

data saving or retrieval problems; power failure; software incompatibilities; operator errors; or other technical problems.

In the event of any technical difficulties, I will begin or continue the bar examination by writing my answers in the

answer books provided. Should this happen, I will be required to handwrite the balance of my bar exam.

3. I understand that, in the event of technical difficulties during the bar exam, no additional testing time will be given to

me.

4. Should all or a portion of my essay answers become lost or unrecoverable, I will not hold the Board, ExamSoft, or

any of their employees, agents, representatives and/or affiliates liable. The Board has no obligation to undertake efforts

to retrieve any portion of my essay answers that may be lost or missing. Should I experience technical difficulties, I

will promptly assist the Board in every way, including presenting my laptop computer to the Board or its designee,

either at the exam site or the Board’s office. If all or a portion of my essay answers are lost or unrecoverable, only those

portions that are retrieved will be graded. If I do not receive a passing score on the bar exam, I understand that I cannot

request, nor will I receive, reconsideration or modification of my essay grades for any reason directly related to the

Laptop Computer Testing Program.

5. I am required to report to the bar exam testing area on Thursday, the day of the essay portion of the examination, no

later than 8:30 a.m., to set up my laptop computer at my assigned seat and begin the boot-up procedures for the

software. I will follow the instructions provided. In the event of any technical difficulties, I will immediately notify a

proctor who will provide me with answer books to handwrite the bar exam. I understand that if the software is not fully

functioning by the time the morning announcements begin, I will be required to handwrite my answers. If I arrive late

for any reason I may, at the discretion of the Board or its designee, be disqualified from using my laptop computer for

the bar exam. In such an instance, I will be required to handwrite my answers in the answer books provided, in my

assigned seat in the computer testing area.

6. My laptop computer must remain in the testing area until the examination is finished for the day.

Applicant S

tatement of Compliance

page 1 of 2

7. My essay answers must be uploaded to ExamSoft’s secure web server as directed prior to leaving the exam site

(except in extraordinary circumstances as determined by the Board of Bar Examiners). Failure to upload my answe

iles may result in the disqualification of my essay answers.

8. The Executive Director of the Board of Bar Examiners or her designee has the authority to determine my eligibility

o participate in the Laptop Computer Testing Program.

9. I hereby release, discharge and exonerate the Board, its employees, agents, representatives and/or affiliates from any

nd all liabilities of every nature and kind arising out of the option to use my own laptop computer for the essay portion

of the bar exam. I understand that no technical assistance will be provided during the administration of the exam in the

event of a computer or software problem.

By signing below, I agree to the terms and conditions set forth above for participating in the Laptop Computer Testing

Program. To register for the Laptop Computer Testing Program, include your signed Statement of Compliance, the

completed Laptop Computer Registration Form, technology fee of $75.00 made payable to the Commonwealth of

Massachusetts in the form of a money order or bank check (no personal checks) with your completed bar application to

the Court on or before the filing deadline.

Applicant Signature:

Applicant Name:

Last Name, First Name & Middle Name

Date:

Include the completed Registration Form, Statement of Compliance, and the technology fee of $75.00 made payable to

the Commonwealth of Massachusetts in the form of a money order or bank check (no personal checks) with your

completed bar application at the address below by the filing deadline.

Supreme Judicial Court for The County of Suffolk

Clerk Maura S. Doyle

John Adams Courthouse

One Pemberton Square, Suite 1300

Boston, MA 02108

Applicant Statement of Compliance

page 2 of 2

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