Fillable Commonwealth of Massachusetts Supreme Judicial Court Petition for Admission to the Massachusetts Bar

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Commonwealth of Massachusetts Supreme Judicial Court Petition for Admission to the Massachusetts Bar

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P
etition for Admission to the
M
assachusetts Bar
By
Motion
COVER
SH
EET
Complete
and File with
your Petition
.
Responses
are MANDATORY.
Print
legibly.
Last Name: ________________________ First Na
me: _________________
Middle Name: ______________
Address: ____________________________________________________________________________________
City: ____________________________ State: _____________ Zip: _______ Zip Ext: ______
Country: _________________________
Primary Phone No.: _____________________________ E-mail: ______________________________
Personal Identifying Information (Not available to the public):
City of Birth: ________________________________
Country of Birth: _____________________________
State of Birth: ______________________________
Date of Birth: _______________________________
Mother's Maiden Name: _____________________________________________________________________
Social Security No.: ____________________________
When did you sit for the MPRE? ________________
NCBE No.: ________________________________
What was your Score? ______________________
Confirm/Mark the required documents listed below are attached to this mandatory Cover Sheet.
Documents are NOT accepted Separately. All signatory documents must be original. Photocopies are NOT accepted.
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).
MPRE Score Report (indicating your NCBE Number).
Three current (dated within 6 months) LETTERS OF RECOMMENDATION (Photocopies are
NOT accepted)
Certificate Of Admission And Good Standing (dated within 90 days) from each each state, district,
territory, province or foreign country to which you are admitted. (Photocopies are NOT accepted)
Grievance Letter or Disciplinary Letter (dated within 90 days) from each state, district, territory,
province or foreign country to which you are admitted indicating that there are no charges pending
against you.
FEE (NO Personal Checks) of $1,015.00 in the form of a MONEY ORDER or BANK CHECK payable to
the Commonwealth of Massachusetts.
CIVIL NO.
IN THE MATTER OF
Full Name
PETITION
FOR ADMISSION BY MOTION
TO THE BAR
OF THE COMMONWEALTH OF MASSACHUSETTS
Pursuant to Supreme Judicial Court Rule 3:01, Section 6
Petition Filed
(Court Use Only)
AdmissiononMotionRev12.29.17
SUFFOLK, SS.
Page 1 of 14
THE COMMONWEALTH OF MASSACHUSETTS
Suffolk, SS. Supreme Judicial Court For Suffolk County
PETITION FOR ADMISSION TO THE BAR OF THE COMMONWEALTH OF MASSACHUSETTS
On Motion without Examination
I, ___________________________________________________ hereby petition for admission on motion to the bar
of the
Commonwealth. I acknowled
ge this is an action at law and subject to public access.
*
I further acknowledge
that I have
received notice that c
ertain 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 further represent that I was duly admitted as an attorney of the highest
judicial court of the state of _______________ on ___________________________ , and that I have engaged in the
actual practice or teaching of law in ______________________________________ ,and the nature of my practice or
teaching is____________________________________________________ and has continued
from___________________________to______________________________.
Petitioner Signature: ___________________________________________________________
Address: ____________________________________________________________________
City: ___________________
State: _____________ Zip: ___________ Ext: ______
Email Address: _________________________ Telephone No.: _______________________
Attorney Registration 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 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 2 of 14
Suffolk, SS Supreme Judicial Court For Suffolk County
In the matter of_________________________________________________________
(Petition for Admission to the Bar of the Commonwealth of Massachusetts)
PETITIONER'S STATEMENT
Contact Information
Last Name: ________________________ First Name: _________________ Middle Name: ___________
Address: ________________________________________________________________________________
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: ________________________________ Social Security No.: _______________________
NCBE No.: _________________________________
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: ___________________
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
(last four digits: xxx-xx-1234)
(i.e. Marriage) (i.e. City, State)
Do you have additional surnames? Yes __________ No __________
The Commonwealth of Massachusetts
Page 3 of 14
Parental Information
Parent One:
Last Name: _____________________ First Name: _________________ Maiden Name: _________
Address: ____________________________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Parent Two:
Last Name: _____________________ First Name: _________________ Maiden 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 ten years or since admission to the bar, whichever is
longer. 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.
Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________
Page 4 of 14
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: ____________ 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.
(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: ____________
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
Page 5 of 14
Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________
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. ____________________________________________________________________
________________________________________________________________________________________
Legal Employment
List any legal employment you have held within the last ten years, or since admission to the bar, whichever
is longer. Include self-employment, part or full-time employment, and if applicable, any military
service. Information must be provided in same format as below.
(a) Name of Employer/Firm: _____________________________________________________________
Address: ________________________________________________Website:______________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Nature of Business: _________________________________________________________________
(i.e., civil litigation, corporate law, etc.)
Position Held: _____________________________________________________________________
(i.e., full/part time principal, partner, associate, sole practitioner, etc.)
Employed From: _______________________ Employed To: _______________________
Reason for Leaving: ________________________________________________________________
Employer Reference: _______________________________________________________________
Provide a reference to verify any firms, businesses, or employers that no longer exist.
(b) Name of Employer/Firm: _____________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Nature of Business: _________________________________________________________________
(i.e., civil litigation, corporate law, etc.)
Position Held: _____________________________________________________________________
(i.e., full/part time principal, partner, associate, sole practitioner, etc.)
Employed From: _______________________ Employed To: _______________________
Reason for Leaving: _________________________________________________________________
Employer Reference: _______________________________________________________________
Provide a reference to verify any firms, businesses, or employers that no longer exist.
(c
)
Name of Employer/Firm: _____________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Nature of Business: _________________________________________________________________
(i.e., administrative, medical, etc.)
Position Held: _____________________________________________________________________
(i.e., full/part time principal, partner, associate, sole practitioner, etc.)
Employed From: _______________________ Employed To: _______________________
Reason for Leaving: _________________________________________________________________
Employer Reference: _______________________________________________________________
Provide a reference to verify any firms, businesses, or employers that no longer exist.
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
Page 6 of 14
Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________
Address: ________________________________________________Website:______________________
Address: ________________________________________________Website:______________________
General Employment
List any non-legal employment you have held within the last ten years, or since admission to the bar,
whichever is longer. Include self-employment, part or full time employment, and if applicable, any
military service. Information must be provided in same format as below.
(a) Name of Employer/Firm: _____________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Nature of Business: __________________________________________________________________
(i.e., administrative, medical, etc.)
Position Held: ______________________________________________________________________
Employed From: _______________________ Employed To: _______________________
Reason for Leaving: _________________________________________________________________
Employer Reference: ________________________________________________________________
Provide a reference to verify any firms, businesses, or employers that no longer exist.
(b) Name of Employer/Firm: _____________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Nature of Business: __________________________________________________________________
(i.e., administrative, medical, etc.)
Position Held: ______________________________________________________________________
Employed From: _______________________ Employed To: _______________________
Reason for Leaving: _________________________________________________________________
Employer Reference: ________________________________________________________________
Provide a reference to verify any firms, businesses, or employers that no longer exist.
Employment Information
Have you ever been terminated, or resigned in lieu of termination, from any position?
Yes __________ No __________
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
(c) Name of Employer/Firm: _____________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Nature of Business: __________________________________________________________________
(i.e., administrative, medical, etc.)
Position Held: ______________________________________________________________________
Employed From: _______________________ Employed To: _______________________
Reason for Leaving: _________________________________________________________________
Employer Reference: ________________________________________________________________
Provide a reference to verify any firms, businesses, or employers that no longer exist.
If yes, attach a statement of details with applicable records.
Page 7 of 14
Las
t Name: ___________________________________
First
Name:
___________________________________
Middle Name
:
____________________
Address: ________________________________________________Website:______________________
Address: ________________________________________________Website:______________________
Address: ________________________________________________Website:______________________
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: ___________________________
(c) Jurisdiction: ____________________________
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: ___________________________
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
(a) Jurisdiction: ____________________________
Page 8 of 14
Las
t 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).
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
(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 __________ No __________
If yes, attach a statement of details with applicable records.
Page 9 of 14
Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________
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 Li
cense/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) Li
cense Type: _____________________________ State: _____________________________________
Authorizing Office: _____________________________________________________________________
Office Address: ________________________________________________________________________
Date License was Granted: __________________ License Status: _____________________________
(b) Li
cense Type: _____________________________ State: _____________________________________
Authorizing Office: _____________________________________________________________________
Office Address: ________________________________________________________________________
Date License was Granted: __________________ License Status: _____________________________
Have
you ever held any elected, app
ointed or jud
i
cial off
i
ce?
Yes ____
______ No ________
__
If yes, provide the follo
wing information:
(a) Elected/Appointed/Judicial Office: _________________________________________________________
(i.e., 1st Circuit Court Clerk, etc.)
Office Address:___________________________________________________________________________
(i.e., 0000 Sample Ave., Sample Building, City, State, Zip and Country)
Served From: ______________________________ Served To: _______________________________
Reason for Leaving: ____________________________________________________________________
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
Page 10 of 14
Last Nam
e: ___________________________________
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 a
n attorney, or as a holder of any public office?
Yes ________ No ________
If yes, provide the following information:
(a) License/
Position: __
_________________________
State: ____________________________
Authorizing
Office: ___
__________________________________________________________
Date of Suspension/Revocation: __
_________
License Stat
us: ______
__________________
Reason for Action Take
n: _______
_________________________________________________
Attach a stat
ement of details with app
licable re
cor
ds.
(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.
Page 11 of 14
Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________
Practice of Law Information
Have
you ever been cha
r
ged with or been the su
bject of any investigation
pertaining t
o the unauth
orized
practice of
law?
Yes
________
No ________
If yes, attach a statement of details
with applica
ble 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 ________ No ________
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 ________ No ________
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 charg
e?
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.
ATTACH RIDER PAGE(S) IF NECESSARY. Information must be provided in same format as above.
Page 12 of 14
Las
t Name: ___________________________________
First
Name:
___________________________________
Middle Name
:
____________________
Filing Requirements
When did you sit for the
Multistate Professional Responsibility Exa
m
ination (MPRE)? _________________
(Date)
What was your Scaled Score? _______________
(Score)
Have
you attached three
current lette
rs of recommendation? Are these letters addre
ssed to the
Board of
Bar Exa
m
in
ers, stating f
acts relative
to your character by attorneys, one of which is a
member of
your same
bar? Please call to the
attention of t
he author th
at statements should not
be conclu
sions but sho
uld contain
facts tendin
g to help the
Board of Bar Exa
m
iners reach conclusions abou
t your character and fitn
ess to be
admitted to the bar. (See Information for Letters o
f Recomme
ndation). Yes _______
_ No ________
Have
you attached a Certificate of A
dmission an
d Good Standing with a
pplicable Grievance letter (dated
within 90 da
ys of this Petition) from every jurisdiction and cour
t you are admitted to?
Ye
s ________ No ________
Statement of Details
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:
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 c
urrent 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 deem
ed
relevant by the Board of Bar Examine
r
s may be
grou
nd
s for d
enial of a re
commen
dation
for admissio
n.
I, the Petition
er, ce
rtify that each of the foreg
o
ing a
n
swers a
r
e true,
complete a
n
d
can
d
id an
d that I have not altered the
wording of an
y question.
I further ce
rtify that I have answe
red all
que
stion
s
an
d have attach
ed ride
r pa
ges with state
m
ents of detail
s
for any
appli
c
able
re
spo
n
se within
this Petition.
Petitioner’s Signature: _________________________________________ Date: _____________________
Page 13 of 14
Las
t Name: ___________________________________
First
Name:
___________________________________
Middle Name
:
____________________
click to sign
signature
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dd mmm yyyy
Commonwealth of Massachusetts
Board of Bar Examiners
AUTHORIZATION
I, _______________________________________________________________________________
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
a
gency, 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 inform
al,
pending or closed, or any other pertinent data to provide them to the Massachusetts Board of Bar
Examiners.
Petitioner’s Signature: __________________________________________ Date: ____________________
Page 14 of 14
Last Name: ___________________________________ First Name: ___________________________________ Middle Name: ____________________
click to sign
signature
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dd mmm yyyy
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Commonwealth of Massachusetts Supreme Judicial Court Petition for Admission to the Massachusetts Bar

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Completed 17 May 2020

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