Free Corel Office Document - Rhode Island

R.I. Bankr. Form T.2 See LBR 9010-1(e)(5)

UNITED STATES BANKRUPTCY COURT DISTRICT OF RHODE ISLAND In re: ) ) ) ) ) )

Chapter 7 Case No.

Debtor(s).

CERTIFICATE REGARDING ADMISSION OF LAW STUDENT PURSUANT TO LOCAL BANKRUPTCY RULE 9010-1

The Debtor, student, supervising attorney, and faculty member, by executing this certificate below, respectfully represent as follows: 1) The Debtor (s) has been referred to the Bankruptcy Clinic at the Roger Williams University School of Law Metropolitan Center in Providence, Rhode Island (the "Program") and hereby consents to the assistance and special admission of , a third year law student enrolled in the Program in his/her/their case.
2) (Supervising Attorney) is a member of the bar

of this Court and agrees to assume personal professional responsibility for the law student's work, for supervising the quality of the law student's work, assist the student to the extent necessary, appear with the student in all proceedings before this Court and be prepared to supplement any written or oral statement made by the student to this Court or opposing counsel. 3) ________________________ Esq. is the faculty member conducting the Program and, if serving as supervising attorney, is a member of the bar of this Court. He/she hereby agrees to act as attorney of record in the event the supervising attorney and/or the law student are not available to do so.

4)

is a third year law student serving as a legal intern in the Bankruptcy Clinical program at Roger Williams University School of Law who hereby represents that he/she: 1. has successfully completed the bankruptcy course offered by Roger Williams University School of Law, is enrolled in the Program, is familiar with the facts of this case and is qualified to provide the legal representation required; and 2. has read and is familiar with the Rhode Island Supreme Court Rules of Professional Conduct, the Federal Rules of Bankruptcy Procedure and the Local Bankruptcy Rules of this Court. Respectfully submitted,

Dated:___________

__________________________

DEBTOR
Dated:___________ __________________________ FACULTY __________________________ SUPERVISING ATTORNEY __________________________ STUDENT

Dated:___________

Dated:___________