Free Microsoft Word - APP_EXAM.dot - South Carolina

Board of Magistrate and Municipal Judge Certification
APPLICATION FOR CERTIFICATION/RECERTIFICATION EXAMINATION I wish to take portion(s) of the certification/recertification examination on these date(s) and at these times: DATE TIME Criminal Criminal Civil Civil

I understand that Supreme Court Rules give the Director of S.C. Court Administration the responsibility for receiving and processing applications and that this application must be received at the Office of South Carolina Court Administration before the first day of the month in which the examination is offered [For example, the application for an examination offered on April 30 must be received on or before March 31.] I request the following special accommodations for using the review materials and/or for taking the examination: . I certify that I am a duly appointed, active Magistrate judge.

Date: Name: Home Address: County of Residence:

Signature

RETURN TO: Mrs. Rosalyn Frierson South Carolina Court Administration 1015 Sumter Street, 2nd Floor Columbia, SC 29201-3739 Telephone: (803) 734-1800 Fax: (803) 734-0269 PLEASE DIRECT ALL QUESTIONS TO WALTER T. LEVERETTE Telephone: (803) 734-1842

FOR SCCA USE ONLY DATE RECEIVED