1Indicate the state, territory or District of Columbia of the United
2Indicate the street number, street, city, state and zip code.
APPLICATION FOR ADMISSION WITHOUT EXAMINATION
, being duly sworn, deposes
I am a resident of ,1 residing at
Work telephone: ; Home telephone .
I was admitted and licensed to practice law in the court of last
resort in 1 on , . I have
also been admitted to practice in the following jurisdiction(s):
I am an active member in good standing of the Bar in each of the
above-noted jurisdictions, except: .
My principal occupation for years immediately preceding the
date of this application for admission has been:
( ) the active practice of law as a principal business or occupation
in the jurisdiction of 1 and/or in the following
3Indicate any other courts in which you have practiced.
4Indicate the name of the law school.
5Indicate the city and state in which the law school is located.
6Indicate whether you were a judge advocate, legal specialist or legal
officer. Such service must be certified. See Rule 5(A)(6)-(c).
7Indicate the city or county in which you intend to practice, the
nature of said practice and the firm or business with whom you intend to
practice, if known.*
*Pursuant to MCL 600.946 and Rule 5(A)(4) an applicant for admission to the
Bar without examination must intend in good faith to either maintain an
office in this state for the practice of law, and to practice actively in
this state, or to engage in the teaching of law as a full-time instructor
in a reputable and qualified law school duly incorporated under the