Commonwealth of Massachusetts
Supreme Judicial Court for the County of Suffolk
Rule 3:03 Student Practitioner Amendment Form
(Request will not be processed if any fields are left blank)
General Amendment Information:
Existing Student Practice Case Number:
Reason for Amendment to:
Practitioner Information
Academic Information
Supervising Attorney Information
Comple
ted by:
Last Name: First Nam
e: M.I:
Signature Date
Student Prac
titioner Information:
First Name:
M.I:
Last Name:
Address:
(i.e., 0000 Sample Ave., Sample Building, City, State and Zip.)
E-Mail:
Phone:
Law School
Academic Information:
La
w School:
Dean:
Year of Law Study:
Senior Law Student
1
Next to Last Year Law Student
2
Completed or currently enrolled in a course in:
Evidence Trial Practice
Expected Date of Graduation
3
:
Amendment Details:
(i.e., withdrawal from clinical, change to supervising attorney, etc.)
Bar Examination Information (if applicable):
Jurisdiction Exam Date (mo. & yr.)
Supervisi
ng Attorney Information:
BBO Number:
Name of former Supervising Attorney:
Name of new Supervising Attorney:
BBO Number:
Check one:
regular/special asst. district atty
law school clinical instructor
regular/special asst. atty. general
agency/asst. agency counsel
assigned by CPCS
town/asst. town counsel
city/asst. city solicitor
corporation/asst. corporation counsel municipal/asst. municipal counsel
employed by a non-profit of legal aid, legal assistance or defense
Firm/Agency Name:
Address:
(i.e., 0000 Sample Ave.,
Sample Building, City, State and Zip.)
E-Mail:
Phone:
Signature (current supervising attorney, if applicable)
Date
1
Senior law student shall mean a student who has completed successfully the next to the last year of law study. SJC Rule 3:03 (2).
2
Next to last year law student shall mean a student who has begun the next to last year of law study. SJC Rule 3:03 (8).
3
SJC Rule 3:03 applies only to a student whose right to appear commences at least three months prior to graduation from law school SJC Rule 3:03 (9).
Bar Examination Applied For:
09.2017v2
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signature
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