CPID Number: _________ Renewal Due: _____________ *CP00000*
The North Carolina State Bar
Board of Paralegal Certification
Application for Paralegal Recertification
I. PERSONAL INFORMATION
Full name:
Mailing address:
(Check one) Are you working
as an independent or freelance paralegal: Yes No
(i.e., working as a paralegal but not employed by a law firm, government entity, or legal department) (Currently unemployed = (No)
Contact numbers (Office): _________________________________ (Fax): _________________________
(Home): ______________________________________ (Cell): ___________________________
E-Mail address: _________________________________________________
(Please do not use your work email address)
II. CONTINUING EDUCATION
List all continuing education programs completed in the preceding 12 months that satisfy the requirement under Rule .0120
If the course was a full-day seminar, please list the name of the seminar, not the individual sections.
*** YOU MUST INCLUDE CERTIFICATES OF ATTENDANCE WITH YOUR APPLICATION***
(Place an “X” in the first column below to indicate that the certificate is enclosed.)
Cert
Course Title
Course Sponsor
Date
CLE/CPE
Credits
III. CONDUCT
(Check one) Is your certification or license as a paralegal in any state under suspension or revocation: Yes No
List any pending criminal charge or criminal conviction (not traffic infractions) you have received in the past 18 months.
(If conviction was under a different name, list that name) (Attach additional sheets if necessary)
Type of Conviction
Jurisdiction
Date
Name (if different
from above)
*PLEASE NOTE: The notary requirement is no longer required!!!**
