Bar Certification Request

Name*

If you have used any other names, please list them here

Email*

Phone*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Anticipated Degree Date*

Anticipated Degree Year*

List the first bar examination you plan to take and the month and year it is given. If you plan to take more than one examination list all.*

State	Date Administered

I authorize Atlanta’s John Marshall Law School to release any information required by the appropriate Board of Bar Examiners or Board of Bar Overseers for permission to take the bar examination and to be admitted to the bar of any state or jurisdiction that I am applying for admission. This includes, but is not limited to, any information contained in my file and my official transcript, my current permanent address, and my telephone number.

Electronic Signature*

Print your name as your signature to the authorization above.

Date*