Re: Application of John Smith
I,
John Smith hereby affirm that:
1. I am the applicant named in the foregoing application for admission to practice law in Oregon;
2. I have read the Rules of the Supreme Court of the State of Oregon relating to admission to practice law in Oregon, and I make this application in accordance with those rules;
3. I understand that my obligation to furnish complete and accurate information in connection with this application is a continuing one and, accordingly, should anything occur or be discovered between the time this application is submitted and the time I am admitted that would change or render incomplete any portion of the information furnished in or in connection with this application, I will promptly notify the Board of Bar Examiners and furnish the necessary information to correct or complete my application;
4. I agree to give any further information which may be required in reference to my past record;
5. I hereby authorize the Supreme Court of the State of Oregon and the Board of Bar Examiners, or their agents or authorized representatives, to make a complete investigation of my character, financial responsibility and general fitness to practice law in Oregon and to disclose such information about me as may be reasonably necessary to conduct such an investigation;
6. I hereby authorize every person, firm, company, corporation, medical professional, governmental agency, court, association, bar admissions or discipline authority, or educational or other institution, including, without limitation, colleges, universities, and law schools, having control of documents relating to me, including, without limitation, driving records, post-secondary educational institution and law school records, health care
treatment records, counseling records, military records, credit reports, litigation records, professional disciplinary records, and employment records, to provide that information and those documents to the Supreme Court of the State of Oregon and the Board of Bar Examiners and their agents or authorized
representatives;
7. I hereby release, discharge and exonerate the Oregon Board of Bar Examiners, their members, agents and representatives and any person, entity furnishing documents, records or information in connection with this application or the investigation discussed above from any and all liability of every nature and kind arising from any investigation or out of the furnishing, inspection or use of such documents, records and other information; and
8. I understand that all documents, records and other information pertaining to me, furnished to the Oregon State Board of Bar Examiners in connection with this application are privileged and confidential and will not be disclosed to persons, except as provided in the Rules for Admission, outside the Supreme Court or Board of Bar Examiners and their agents or authorized representatives without my prior consent and that this application and all materials in my application file are and shall remain the property of the Supreme Court.
9. Notwithstanding anything to the contrary herein, I hereby authorize the Oregon Board of Bar Examiners to release my name and Oregon Bar Exam data, including pass/fail information, to my law school(s) and to the National Conference of Bar Examiners.
10. I fully realize that the determination of whether I may be allowed to practice law in Oregon depends on the truth and completeness of my answers in this application and the information furnished with it;
11. If I choose to take the exam using a computer, I acknowledge there is some risk. The risks include but are not limited to equipment failure, software problems and electrical problems. I agree to assume all risk associated with use of a computer and acknowledge that I will have to handwrite the exam in the event of any problems;
12. I have read the foregoing application and the answers that I have given in it are true and complete.
13. I agree should I be asked to provide a fingerprint card that I will take the necessary steps to obtain one from a law enforcement agency.
I HEREBY DECLARE THAT THE ABOVE STATEMENTS ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND I UNDERSTAND THAT ANY FALSE STATEMENT IN MY APPLICATION MAY RESULT IN THE DENIAL OF MY ADMISSION, UNDER ORS 9.220(2)(a).
By typing your name, you are signing this document electronically and demonstrating your intent to use this electronic signature as your authorization for the release of any documentation or information pertaining to you.
