Kansas Board of Law Examiners

Applications & Information » Legal Intern » Legal Intern Application

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Personal Information »

Full Legal Name

John Smith

Present Address

Address 1

3855 Lake Clearwater Place

Address 2

Apt. 222

Phone

(812) 111-5100

NCBE Number

Date of Birth

January 10, 1961

Social Security Number

***-**-****

Name of the law school you are currently enrolled in

Expected date of Graduation

Name of Supervising Attorney

Additional Supervising Attorney

Legal Intern Certification and Oath

I hereby certify that I have read and will abide by the Rules relating to the Discipline of Attorneys (Supreme Court Rules 201 et seq.). I also certify that I have read Supreme Court Rule 715 and understand the limitations of the legal intern permit. Furthermore, I swear that I will support the United States Constitution and that I will faithfully perform the duties of a legal intern.