UNITED STATES DISTRICT COURT
Western District of Washington
APPLICATION FOR LEAVE TO APPEAR AS A LEGAL INTERN
Pursuant to Local General Rule 2(i) of the United States District Court for the W estern District of Washington, _____________________________________hereby applies for perm ission to appear and participate as a legal intern under the supervision of ____________________________________.
I am a student duly enrolled and in good academ ic standing at ________________________________________ and I have com pleted:
_____ two-thirds of m y three year course of study _____ five-eighths of m y four year course of study; OR Nine months have not expired since m y graduation from _______________________________________ law school and I have attached proof thereof.
I understand that I am charged with knowing and com plying with the W ashington State Rules of Professional Conduct and Local Rule GR2 of the United States District Court for the W estern District of Washington.;
I declare under penalty of perjury that the foregoing is true and correct.
DATED this ______ day of ________________, 20 ___.
___________________________________________ Signature of Applicant
Supervising Attorney's Name: Washington State Bar Number: Law Firm: Street Address: Rm/Ste:
City/State/Zip:
Phone:
STATEM ENT OF SUPERVISING ATTORNEY I am prepared to supervise the applicant in accordance with Local Rule GR2(i)(4). I certify that I am adm itted to practice before this Court; and that I have been actively engaged in the practice of law for at least three years.
DATED this ______ day of ___________________, 20___ .
______________________________________ Signature of Supervising Attorney
ORDER
It is ordered that the application of to appear as a legal intern is hereby approved.
DATED this ______ day of ___________________, 20___ .
_______________________________________ United States Magistrate Judge
Complete entire form and return to:
Clerk's Office, U.S. Courthouse Lobby Level, 700 Stewart St Seattle, WA 98101