THE COMMONWEALTH OF MASSACHUSETTS
SUFFOLK, SS. Supreme Judicial Court for Suffolk County
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
the day of in the year
Law School on
(DAY) (MONTH) (YEAR) (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) (Phone 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: Clerk of
County Suffolk, One Pemberton Square, Suite 1300, Boston, MA 02108, no later than fourteen (14) days from
the date of graduation. THERE ARE NO EXCEPTIONS.
REV. 09/2014
with the degree of
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signature
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