09.2017v2
Commonwealth of Massachusetts
Supreme Judicial Court for the County of Suffolk
Rule 3:03 Student Practitioner Form
Initial Request
(Request will not be processed if any fields are left blank)
Law School Information:
Law School: _____________________________________________________________________________________
Address: _____________________________________________________________________________________
Dean: _____________________________________________________________________________________
E-Mail: __________________________________ Phone: ___________________________________
I approve this student’s character, legal ability, and training. I hereby attest that the information provided below is accurate.
Dean’s Signature Date
Student Information:
First Name:
M.I:
Address:
Phone:
E-Mail:
(i.e., law school clinical program, internship, externship, employment…)
Academic Information:
Senior Law Student
1
Evidence
Next to last year law student
2
Trial Practice
Supervising Attorney Information:
BBO Number:
regular/special asst. attorney general
agency/asst. agency counsel
municipal/asst. municipal counsel
assigned by CPCS
town/asst. town counsel
city/asst. city solicitor
E-Mail:
Phone:
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 his next to the last year of law study. SJC Rule 3:03(8)
3
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)
Year of Law School Study:
Course:
(completed or currently
enrolled)
Expected Date of Graduation
3
:
(i.e., 0000 Sample Ave., Sample Build
ing, City, State and Zip)
(i.e., 0
000 Sample Ave., Sample Building, City, State and Zip)
Name of Supervising Attorney:
regular/special asst. district attorney
law school clinical instructor
corporation/asst. corporation 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)
Check one:
Last Name:
For what purpose will you use this certification?
click to sign
signature
click to edit
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