San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
ATTORNEY APPLICATION FOR ADMISSION PRO HAC VICE
Page 1 of 3
APPLICATION FOR ADMISSION PRO HAC VICE
(Complete all questions; indicate "N/A" if necessary.)
I. Applicantisanattorneyandamemberofthelawrmof(orpracticesunderthenameof)
______________________________________________________________________,withofcesat
_________________________________________________________________________________________________
(Street Address)
__________________________________________ _______________________ __________________________
(City) (State) (Zip Code)
____________________________________________________________________
(Telephone Number and E-mail Address)
II. Applicantwillsignalllingswiththename________________________________________________________.
III. Applicanthasbeenretainedpersonallyorasamemberoftheabove-namedrmby:
(List All Parties Represented)
_____________________________ _____________________________ _______________________________
_____________________________ _____________________________ _______________________________
to provide legal representation in connection with the above-styled matter now pending before the San Manuel Tribal
Court.
___________________________________________
Petitioner/Appellant
v.
___________________________________________
Respondent/Appellee
Case No. ____________________________________
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San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
Page 2 of 3
IV. Applicant is a member in good standing of the bar of the highest court of the state of
__________________________________________, where Applicant regularly practices law.
Barlicensenumber:__________________________ Admissiondate:____________________________
(Street Address)
Youmustattachtothisapplicationanoriginalcerticateofgoodstandingissuedwithinthepast90daysfromthestatebar
listed above.
V. Applicanthasalsobeenadmittedtopracticebeforethefollowingcourts:
Court: AdmissionDate: ActiveorInactive:
_____________________________ _____________________________ _______________________________
_____________________________ _____________________________ _______________________________
(If necessary, attach a statement of additional admissions)
VI. Applicant has never involuntarily lost, temporarily or permanently, the right to practice before any court or tribunal,
orresignedinlieuofdiscipline,exceptasprovidedbelow:
VII. Applicant has never been subject to grievance proceedings or involuntary removal proceedings—regardless of
outcome—while a member of the bar of any state or federal court or tribunal that requires admission to practice,
exceptasprovidedbelow:
VIII. Applicant has not been charged, arrested, or convicted of a criminal offense or offenses, except as provided
below(omitminortrafcoffenses):
IX. ApplicanthasledforprohacviceadmissionintheSanManuelTribalCourtduringthepastthree(3)yearsinthe
followingmatters:
Date of Application: Case No.
_____________________________ _____________________________
_____________________________ _____________________________
(If necessary, attach a statement of additional applications)
San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
Page 3 of 3
X. If applicable, please provide information regarding local counsel of record who will appear with Applicant as
co-counselinthismatter:
_____________________________________________________________
(Name)
_________________________________________________________________________________________________
(OfceStreetAddress)
__________________________________________ _______________________ __________________________
(City) (State) (Zip Code)
__________________________________________
(Telephone No.)
XI. Checktheappropriateboxbelow:
Yes No
Are you familiar with the San Manuel Judicial Code, San Manuel Rules of Evidence, San Manuel Rules of
Civil Procedure, and the San Manuel Rules of Court?
Are you familiar with the basic principles of Federal Indian Law?
Ifso,pleasedescribehowyoucametosuchknowledge,suchasyourexperiencepracticingintheeld,
anyIndianLawcoursesortrainingscompleted,oranytreatisesstudied:
XII. Applicant respectfully requests to be admitted to practice in the San Manuel Tribal Court, on the San Manuel Band
ofMissionIndiansReservation,forthiscauseonly.Applicantcertiesthatatrueandcorrectcopyofthis
document has been served upon each attorney of record in this case and the original upon the clerk of the court,
accompaniedbyalingfee,onthisthe____dayof____________________.
______________________________________
Printed Name of Applicant
______________________________________
Signature