Problem : In re Application of Heart

B Glesner Fines 2009

Instructions for role play - CLIENT

 

Client Facts:  Your name is Pat Heart.  

 

You began law school at Midwestern Central University Law School ("MCU") in August three years ago and graduated in this past May.  You graduated with a rank of 48 out of 150.  Your GPA would be much higher, but your first year was terrible.  You discovered during that year that you had had difficulty completing examinations within the time provided and that you had panic attacks in the classroom during testing. After your first-semester grades, you went to the university counseling center and sought assistance.  Tabatha K. Thompson, Ph.D., MCU's director of counseling services, counseled you, teaching you relaxation and visualization techniques.  Nevertheless, during your spring Contracts exam, you suffered such a severe panic attack that you left the exam room and, with the permission of the associate dean, you called Dr. Thompson, who helped calm you down enough to finish the exam.  Despite this help, your spring exam grades weren’t much better and you were one-tenth of a point away from being dismissed.  You continued to seek help from the counseling center and, in June between your first and second year of law school, a nurse at MCU’s Student Health Center referred you to Dr. Debra A. Grayson. Grayson diagnosed you with generalized anxiety, and prescribed medication.

 

 Dr. Thompson thought that you might also have a learning disorder, and she suggested that you see a specialist for an assessment. Thompson gave you a list of specialists, which included Nancy R. Krasa, Ph.D. Over that summer, Krasa evaluated you by giving her a full range of intelligence, cognitive-functioning, and academic-achievement tests, and she discovered "distinct cognitive abnormalities" that possibly explained your inability to complete tests within the usual allowed time. She could not reach a precise diagnosis, however, and referred you back to your physician. Krasa also referred you to a reading specialist.  Your condition qualified you for special test-taking conditions under MCU's policy of accommodating students with disabilities.

 

During your second and third years in law school, you took your exams in a room by yourself and you were given 50 percent more time than other students to complete your exams.  With these accommodations, you were able to complete the exams without significant panic attacks.  Your grades improved and you began to enjoy law school more.   You were always prepared for class and actively participated in discussions.  You got a job as a research assistant for Professor Stanley Stanton, your second-year civil-procedure professor, who recommended you for a clerkship with Baxter, Williams & Sarne, L.L.P. that spring.    You clerked for that firm from January of your second year until the middle of your third year.  During your third year, you became president of your law school fraternity and participated in a client counseling competition.   

 

You applied on November 12 during your second year of law school to register as a candidate for admission to the practice of law in the state of Central.  You answered no to the question "Do you currently have any other condition or impairment * * * that in any way affects, or if left untreated might affect, your ability to practice law in a competent and professional manner?"  You did not think that you had to disclose your learning disability because you were being treated for your condition and, even if you were not being treated, you believed that you could still practice law in a competent and professional manner. 

 

You answered no to this question again during your third year, on your March 31st application to take the bar examination.  However, you did disclose your condition on the form for requesting special accommodations to take the bar, which you submitted with your application to take the bar.  You asked the Board of Bar Examiners to give you  accommodations similar to those you had in law school when you took the bar exam. You submitted a report from Krasa and a report from Thompson describing your condition and the accommodations you had received in law school.

 

Just after your graduation from law school, in a May 17th letter, the Board of Bar Examiners denied your request for accommodations, citing a special-accommodations consultant's determination that your condition did not satisfy the definition of disability in the Board of Bar Examiners Policy on Applicants with Disabilities. The letter also advised that you could appeal the denial to the board chairman within ten days, that that appeal would be "conducted on the basis of the record compiled before the Board," that you would be "limited to a written argument in support of your appeal," and that the chairman's decision would be final. 

 

You were acquainted with the Chairman of the Board of Bar Examiners Terry P. Garrison through Garrison’s spouse, attorney Jo Garrison.  During your second year at MCU, Jo Garrison had supervised you in your work as a law clerk for Baxter, Williams & Sarne, L.L.P. Jo had become your friend and mentor, and Terry Garrison sometimes joined you for lunch or on other social occasions. After your clerkship ended, you maintained a friendship with the couple, especially with Jo. 

 

You decided to appeal the Board of Bar Examiners' decision. You asked the special-program's officer for the Board of Bar Examiners how to prepare the appeal, he just said “read the rules and use your legal training.”  You also consulted Grayson, who wrote a brief synopsis of your medical condition for use in the appeal, and Thompson, who wrote a more detailed account of your condition and also explained the special accommodations that MCU had provided.

 

In discussions with Thompson, you mentioned that you knew someone "involved in the bar examination process," and asked Thompson whether it would be inappropriate to contact that person. Thompson replied that she saw nothing wrong with you asking that person for guidance on what type of evidence you could submit with your appeal. You then decided to ask the Chairman of the Board of Bar Examiners, Terry Garrison, how to present your case.  On May 25th you sent an e-mail to Garrison asking for guidance in preparing the appeal. (If asked if you have a copy of that email, you may produce it; otherwise you can simply describe it in these terms) You introduced yourself by reminding Garrison that you had formerly served as a law clerk for his spouse. You then described the reasons you thought you needed the accommodations and the difficulty you had in knowing how to go about getting those accommodations for the bar exam. You made sure to let him know that  you weren’t asking for any 'favors' in how the appeal was decided. When you wrote this email, you never intended to influence Garrison's decision whether to grant your request for special accommodations. You were just desperate for some advice and assistance.  However, it seems that Garrison considered the e-mail an attempt to take advantage of your acquaintance, and Garrison forwarded it immediately to the secretary of the Board of Bar Examiners. The secretary appointed an acting chairman, and he later denied your appeal, foreclosing special accommodations.  You decided not to take the bar exam that June.

 

Instead, you applied in August to take the next February bar exam.  On this application, you answered the disability question “yes” and explained: "I am currently being treated for a Central Processing Disorder and anxiety. * * *. If left untreated, I could still practice law in a competent and professional manner. However, it is my intention to practice law in a low key environment in order to minimize the anxiety, and to control my processing disorder, so that I will be an even stronger attorney as I practice law. I can function normally, I just have difficulty processing information and/or communications that are delivered rapidly; which is why I have significant problems with test taking. Even with my disorders, I can still practice law in a competent and professional manner."

 

The board of bar examiners has contacted you and indicated that they would like you to appear for a hearing, at which time they will be exploring whether you should be denied application to take the bar due to your previous failures to disclose your condition and because of your attempt to exert influence on Garrison.

 

You would like to know whether you should have an attorney accompany you to the hearing.  Should you get witnesses? – you have many, many professors, fellow students, and attorneys who have agreed to write letters or testify on your behalf.  What are the chances you will be able to take the bar?

 

Instructions for role play:

 

You should play yourself as a somewhat naïve, sincere individual.  Don’t overplay the role.  Try to think of a situation in which you’ve had a lapse of judgment and remember what that felt like.  (If you’ve never done anything stupid in your life, see me as I’d like to know your secret for success).    

 

You should be prepared to admit that it was not really smart to email Garrison directly about your appeal, but you should express some confusion as to exactly why.  For example, you might wonder if you would have gotten in as much trouble if you had asked his spouse for help.  You might suggest that you have looked but you have never found a specific rule that prohibits contacting the bar examiners personally.  Don’t be too defensive, however, as you can, if pressed at all, see that referring to your personal relationship was not the right thing to do.  You should reflect some anger at Garrison for sending on the email – you think that Garrison could have simply sent back the email and let you know that discussing the matter with you was improper, but you assume Garrison had to send on the email merely for self-protection.  You should be anxious, worried and desperate to get a chance to take the bar.  You want to do whatever is necessary to be able to take the bar.  You wish there were some opportunity to get accommodations and are not very confident about your ability to pass without accommodations, but you realize there is almost no chance of getting accommodations at this point.  Now your main goal is simply to get a crack at the bar exam.  You would be willing to submit to psychological examination and even to delay taking the bar until July if necessary, but these should not be your suggestions.

 

 Documents

 

You can produce your bar application character and fitness questionnaire and the email to Garrison at the meeting.

 

Here is the email:


 

From: Pat Heart [mailto:pat.heart@midwestcentral.edu]

Sent: Mon March 26, 2:48 AM

To: Terry Garrison

Subject: Your help in bar application process please 

 

Dear Terry,

 

I am a recent graduate of MCU law school.  I think you probably remember me because I worked as a law clerk for Jo at Baxter, Williams & Sarne,  for most of the past two years.  You may remember that we went to the Access Justice fundraising dinner together. I am writing because I am desperate for some advice and assistance and I know you and Jo have always been so helpful to me in the past that you would be the person to turn to.  I know that you are the person who decides the accommodations appeals and so can direct me in how to prepare a successful appeal.  

 

I’m not sure where to begin.  I applied for accommodations to take the upcoming bar exam and I just got the letter telling me that the accommodations have been denied because I haven’t proven my case (I guess).  Anyway I can bring an appeal, but no one at the board of bar examiners has told me exactly what I should put in an appeal.  I know that I need accommodations, but I didn’t when I started law school.  I did okay in undergrad without any special testing accommodations, but as a art major, I never had the kind of pressured exams that law school presents.  I thought I was doing pretty well during the first semester – I kept up on all the reading and always briefed my cases – some of my friends were even borrowing notes from me because they thought my briefs were so good.  I outlined all my classes pretty much and felt nervous but pretty confident going into the exams.  I already knew that I would get a B+ in legal writing.  But I knew I was in trouble after that first exam.  It was the Criminal Law exam and I just panicked when I read the instructions for the multiple choice questions.  It was one of those kind where one or more of the choices can be correct and you have to choose whether its only one or more.  I just kept getting more and more nervous and thought I was going to pass out.  I got through the multiple choice questions but I couldn’t even begin to answer the essay.   Anyway, I knew even before I got the grades that I had probably flunked out.  In fact, I was surprised I did as well as I did given what a wreck I was taking the exams.   I know lots of people get nervous during exams, but this was something entirely different.  My brain just froze.  I could hardly remember my own name, much less the law.  .  I ended up with a C in Property, a C- in Torts, a D+ in Criminal Law and a D in Constitutional Law, which was very close to putting me on probation.   The exams in both Criminal Law and Constitutional Law were closed book, with about half the questions multiple choice.  

 

Anyway, after my first-semester grades came in, I went to talk to the associate dean, who suggested I go to the counseling center on campus.  I went there and met Dr. Tabatha K. Thompson.  Dr. Thompson is the director of counseling services, and we talked quite a lot during the next semester. She told me I was suffering from text anxiety and gave me some exercises to learn to relax and not get panicked.  The second semester didn’t go much better though.  My classes were okay, except for Contracts where the professor went so fast, I just couldn’t keep up, but my study group shared notes and I felt prepared for that exam, as well as for the rest.  The first exam (Torts II) went okay, but during the Contracts exam, I just froze.  The exam was multiple choice for 2 hours and then 2 hours of a eight-page hypothetical.  I got through the multiple choice part but as I began the essay, I was feeling so panicked I couldn’t even think.  I started to feel dizzy and nauseous.  I left the exam room and the associate dean let me call Dr. Thompson, who helped calm me down enough to finish the exam.  In the end, my spring exam grades weren’t much better than the fall and I was still on the edge of academic dismissal.  I kept working with Dr. Thompson and his staff, and that summer one of the nurses at the counseling center referred me to a psychiatrist, Dr. Debra A. Grayson..  Dr. Grayson said I had generalized anxiety, probably situational, and prescribed Buspar.  I didn’t really like taking it because it made me feel “off” all the time, but by the end of the summer I got used to it and it really seemed to help keep me calmer.  But of course I wouldn’t know whether it would help with the exams until that fall.  

 

That summer, I also went to see Dr. Nancy R. Krasa, a specialist in learning disorders.  She tested my sight and hearing and gave me a whole range of written and oral tests to assess my intelligence and achievement.  My.Wechsler Adult Intelligence score showed that I have an IQ of 139, which Dr Krasa said indicates that I should be achieving much better in law school.  She said that she discovered "distinct cognitive abnormalities" that possibly explained my inability to complete tests within the usual allowed time. She could not reach a precise diagnosis, however, and referred my back to my physician and to a reading specialist.  I spent the entire summer working with all these specialists on reading, study and test-taking strategies designed to address my condition.  I also asked for accommodations from MCU.  Under their disabilities policy, they indicated that my condition qualified me for special test-taking conditions. During my second and third years in law school, I took all my exams in a room by myself and I was given time and a half for the  exams.  I didn’t have any accommodations for take-home exams or papers because my doctors said that it was only the unique conditions of timed exams that caused me difficulty.  

 

The last two years of law school convinced me that I would be a great lawyer.  My grades got better, I was involved in many activities in law school and became a leader in the law school.  At Jo’s firm, I learned so much about the practice of law and got great reviews.  As you know, the firm doesn’t keep all its summer associates on as clerks during the school year, so the fact that they asked me back shows the high quality of work I did and the confidence they have in me. But before I can practice law, I have to be able to take the bar exam.  When I applied for the same kind of accommodations I had been given in law school to take the bar exam, I was denied.  I was hysterical when I got the letter denying accommodations.  I cried for hours.  All my hard work, not just in law school, but to learn about why testing was such a difficulty for me and all the extra work I had to do to deal with my condition.  I couldn’t believe that it all was for nothing.  That my condition, which is all about timed exams, would stand in the way of my becoming a lawyer is just unbelievable!  There aren’t timed exams in the practice of law!  I desperately need your help in preparing this appeal.  I simply cannot function under the standard/normal testing conditions.  I have not taken a test under standard conditions for 2 years--to start now would destroy me.  All the hard work would be for nothing.  I would be a great lawyer.  I realize that you are the one who will be making this decision and I’m asking for any favors, I am just hoping that you will understand how important these accommodations are to be able to allow me to demonstrate what I know.  I am not stupid!   Ask my professors.  Ask all my classmates who borrowed my notes and who I helped prepare for exams and who ended up with better grades than me because they don’t have panic attacks during exams.   You can ask Jo about my character.  Jo has personally watched me transition through school as a very scared, frustrated and academically challenged student, to a more confident student, but only after accommodations were made.  I am not asking for any special advantage, just a level playing field.  Without my testing accommodations, I can’t see how I can begin to approach a two-day, time pressured, exam.  I will end up in the hospital!  Please, please help me know what I need to do to successfully appeal this decision!  You and Jo have been such kind and helpful mentors to me, I know you can point me in the right direction.  Thank you.


 

APPLICATION TO THE BAR OF CENTRAL

 

Name   Patricia Jane Heart      000-00-0000   

First Middle Last        Social Security Number* 

 

APPLYING AS (choose one category):  

□ Law Student Registrant (See Fee Schedule Description)  In-House Counsel 

□Motion/Reciprocity Applicant     □ Notary Public 

xBar Examination Applicant (exam date: 2/18/10)   □ Foreign Legal Consultant (exam date: ) 

 

List below all the other names or surnames you have used or been known by and describe when, how, and why your name was changed (e.g., marriage or divorce). 

 

■ First, Middle, Last Name 

From Year_____ To Year_____ 

Reason for change 

■ First, Middle, Last Name 

From Year_____ To Year_____ 

Reason for change 

 

Sex: □ Male xFemale     Date of birth: January 1, 1983

 

Place of birth: Smalltown, Central, USA

 

Of what country are you a citizen?  US

If you are not a citizen of the United States, what is your immigration status? 

Telephone numbers and e-mail address at which you can be reached during the next six months: 

816-235-2380 (Home)    pat.heart@yahoo.com

Mailing address at which you can be contacted about this application during the next six months: 

500 East Main Street

Everycity, Central

Check if address is Residence or □ Business 

If business, name of firm 

Address/P.O. Box 

City State Zip Code 

Country 

 


1. List every permanent and temporary street address where you have lived: 

● If this is your first application prior to bar admission, provide your residency information for the last ten years or since age 18, whichever period of time is longer; OR 

If you have previously applied for bar admission or registered as a law student with a bar admitting authority, provide your residency information for the last ten years or since you were first admitted to the bar in any jurisdiction, whichever period of time is longer.  

List addresses in reverse chronological order starting with your current address. 

 

Current Address From Mo/Yr   August 2006- 

Address    100 Maple Street, Apt 3N

City County State Zip   Everycity, Central 00000

Country if not the United States 

 

From Mo/Yr To Mo/Yr  2002-2006

Address    1000 Bendwood Dr, Apt 8D

City County State Zip   Anothercity, Central 00000

Country if not the United States 

 

From Mo/Yr To Mo/Yr  2001-2002

Address    University of Central,  Ivy Residence Hall

City County State Zip   Anothercity, Central 00000

Country if not the United States 

 

From Mo/Yr To Mo/Yr  1983-2001

Address    516 Brown Street

City County State Zip   Smalltown, Central 00000

Country if not the United States 

 

From Mo/Yr To Mo/Yr 

Address 

City County State Zip 

Country if not the United States 

  


EDUCATIONAL INFORMATION 

2. List the names of all the colleges and universities you attended. Do not include law schools. Include location (including the name of the campus if the school had more than one), dates attended, and degree(s) received. Mark ND if you did not receive a degree. If the school's name has changed since your attendance, provide both its current name and former name. List schools beginning with the one most recently attended. 

 

College     University of Central

City State     Anothercity, Central 

Country/Province    USA

From Mo/Yr To Mo/Yr Degree   2001-2006  BFA

  

 

3. List the names of all the law schools you have attended or are currently attending. Include location (including the name of the campus if the school had more than one), dates attended, degree(s) received or expected to be received, and date degree(s) expected, if applicable. Mark ND if you did not receive a degree. If the school's name has changed since your attendance, provide both its current name and former name. List schools beginning with the one most recently attended. 

  

Law School      Midwestern Central University

City State      Everycity, Central

Country/Province     USA

From Mo/Yr To Mo/Yr Degree Date  8/2006-6/2009  J.D.

  

 

4. Did you engage in law office study in lieu of receiving a JD? (This is permitted only in certain jurisdictions.) □ Yes x No  

If yes, under the approval of what jurisdiction? 

Indicate when and where: From Mo/Yr To Mo/Yr 

Name of Firm 

Proctor 

Firm Address 

City State Zip 

 

5. Have you ever been dropped, suspended, warned, placed on scholastic or disciplinary probation, expelled, requested to resign, allowed to resign in lieu of discipline from any college or university (including law school), or otherwise subjected to discipline by any such institution or requested or advised by any such institution to discontinue your studies therein? □ Yes x No 

If you answered yes, provide the following information: 

Name of the Institution 

Type of Action Date Action Taken 

Explanation of Institution Action  


 

 


ADMISSION INFORMATION 

6. PRIOR APPLICATIONS FOR ADMISSION 

List every state or foreign country to which you have submitted an application to take a bar examination or an application to be admitted to the bar by examination, motion, or diploma privilege. List every state or foreign country to which you have submitted an application to be reinstated to the bar. Include any preregistration as a law student. Do not list multiple application dates and examination dates in the same field; multiple applications and examinations to the same state or foreign country require separate entries. Provide a brief narrative explanation of the circumstances surrounding the reason for any withdrawals of applications or failures to be admitted (other than those due to failing the examination). 

In response to this question, DO NOT include information regarding admission to the U.S. federal courts or authorizations to appear pro hac vice.  

If admitted to a bar of a foreign country, indicate the name and address of the admitting authority in the explanation field

 

□ NONE: This is my first application for admission to practice law. 

 

State or foreign country  Central

Applied as: □ Bar Examinee □ Motion/Reciprocity □ Diploma □ Reinstatement x  Law Student Registrant 

Not admitted due to: □ Failed examx  Withdrew application □ Other reason □ Pending 

Date application made (Mo/Yr) November 2007

Date examination taken (Mo/Yr) N/A

Admitted or readmitted (Mo/Day/Yr) Bar Number* 

Explanation 

 

State or foreign country 

Applied as: x Bar Examinee □ Motion/Reciprocity □ Diploma □ Reinstatement □ Law Student Registrant 

Not admitted due to: □ Failed exam x Withdrew application □ Other reason □ Pending 

Date application made (Mo/Yr) March 2009

Date examination taken (Mo/Yr) 

Admitted or readmitted (Mo/Day/Yr) Bar Number* 

Explanation 

  


LEGAL AND OTHER EMPLOYMENT INFORMATION 

7. List every job you have held: 

If this is your first application prior to bar admission, provide your employment information for the last ten years or since age 18, whichever period of time is shorter.  

If you have previously applied for bar admission or registered as a law student with a bar admitting authority, provide your employment information for the last ten years or since you were first admitted to the bar in any jurisdiction, whichever period of time is longer.  

All law-related employment must be listed.  

Follow these instructions: 

 List most recent employment first. 

 Include self-employment, externships, internships (paid and unpaid), clerkships, and military service. 

 Include part-time employment. 

 Include temporary employment. If you were employed by a temporary agency, provide the name, mailing address, and telephone number of the temporary agency and also note the name of the firm/company to which you were assigned. 

 Account for any period of time when you were unemployed for more than three months (i.e., in school, studying for the bar examination, seeking employment, performing volunteer work, etc.). For these periods of time, check the box for Unemployment and describe the reason for your unemployment in the field labeled Position.  

  Do not furnish your own name or the name of someone to whom you are related by blood or marriage as a confirming reference. 

 

 CURRENT EMPLOYMENT 

From June 2009 To PRESENT 

Position Clerk

Employer or Firm   Midwestern Central University Law Library

Supervisor/Associate   Marian Librarian

Employer or Firm Address   Midwestern Central University Law Library

    1 College Drive

City State Zip Telephone ( )   Everycity, Central, 00000 816-235-8400

Country if not the United States USA

E-mail mlibrarian@mculaw.edu

 


LEGAL AND OTHER EMPLOYMENT INFORMATION 

Make Additional Copies of this Page as Necessary  

  

From Mo/Yr To Mo/Yr  January 2009-June 2009

x Unemployment Period 

Reason: Completing law school

 

  

From Mo/Yr To Mo/Yr  January 2008-January 2009

Position    Law Clerk

Employer or Firm   Baxter, Williams & Sarne, L.L.P.

Supervisor/Associate   Jo Garrison

Employer or Firm Address  1500 West Avenue

City State Zip Telephone ( )  Everycity, Central 0000  809-908-9999

Country if not the United States 

E-mail     garrisonj@BWSLAW.COM

 

  

From Mo/Yr To Mo/Yr  September  2007-January 2008

Position    Research Assistant

Employer or Firm   Professor Stanley Stanton

Supervisor/Associate   Stanley Stanton 

Employer or Firm Address  MCU Law School

    1 College Drive

City State Zip Telephone ( )  Everycity, Central 0000  809-908-9999

Country if not the United States 

E-mail     sstanton@mculaw.edu

 

  

From Mo/Yr To Mo/Yr  August 2006-September 2008

x Unemployment Period 

Reason: First year of law school (volunteered at Legal Aid of Central during summer)

 

  

From Mo/Yr To Mo/Yr  September 2002 -August 2006

Position    Gallery associate 

Employer or Firm   Fireworks Pottery Studio and Galleries

Supervisor/Associate   Clay Molding

Employer or Firm Address  709 Main Street

City State Zip Telephone ( )  Anothercity, Central 0000  809-908-9999

Country if not the United States 

E-mail     firedclay@fireworksclay.com

 

 

From Mo/Yr To Mo/Yr  prior to September 2002

x Unemployment Period 

Reason: Finishing high school and starting college


EMPLOYMENT AND PROFESSIONAL INFORMATION 

8. Have you ever been terminated, suspended, disciplined, or permitted to resign in lieu of termination from any job? (If the employment was not previously listed, please go back and add it to Item 7.) □ Yes x No 

If yes, provide the following about each occurrence: 

Employer or Firm 

Dates of Employment: From Mo/Yr To Mo/Yr 

Disposition: □ Terminated □ Suspended □ Disciplined □ Permitted to resign 

Explanation of circumstances: 

 

9. List the full name and address of each mandatory or voluntary bar association of which you have been or are currently a member. 

x Check here if you have never been a member. 

Name of Bar Association 

Dates of Membership: From Mo/Yr To Mo/Yr 

Address 

City State Zip 

 

10. A. Have you ever been disbarred, suspended, censured, or otherwise reprimanded or disqualified as an attorney? 

□Yes x  No 

 

B. Have you ever been the subject of any charges, complaints, or grievances (formal or informal) concerning your conduct as an attorney, including any now pending? □ Yes   No 

x  Check here if you have never been admitted to practice law. 

If you answered yes to 10A and/or 10B, please provide the following information for each matter: 

Name of Regulatory Agency 

Address 

City State Zip 

Agency Action Date 

Explanation 


 


CHARACTER AND FITNESS INFORMATION 

11. Have you ever been the subject of any charges, complaints, or grievances (formal or informal) alleging that you engaged in the unauthorized practice of law, including any now pending? □ Yes x No 

If the answer is yes, please provide the following information for each matter: 

Name of Regulatory Agency 

Address 

City State Zip 

Agency Action Date 

Explanation 

 

12. Have sanctions ever been entered against you, or have you ever been disqualified from participating in any case? □ Yes x No 

x  Check here if you have never been admitted to practice law. If the answer is yes, please provide the following for each sanction or disqualification: 

Case No. Style of Action 

Name of Court 

Address 

City State Zip 

Disqualified from Mo/Yr To Mo/Yr 

Reason for the sanction or disqualification 

Attach a copy of the order of sanction or disqualification. 

 

13. Have you ever been a member of the armed forces of the United States, its reserve components, or the National Guard? □ Yes  x No 

If yes, complete FORM 1. 


 


CHARACTER AND FITNESS INFORMATION 

14. Have you ever held judicial office? □ Yes x No 

If yes, provide the following information about each office: 

Office held From Mo/Yr To Mo/Yr 

Name of Court 

Address 

City State Zip 

Reason for termination, if applicable 

 

15. Have you ever applied for a license (even if the application was subsequently withdrawn) or held a license for a business, trade, or profession, other than as an attorney-at-law? 

□ Yes x  No 

If yes, provide the following information about each license: 

Type of License Mo/Yr 

Current Status of License 

License Number (if applicable) 

Issuing Authority 

Address 

City State Zip 

 


CHARACTER AND FITNESS INFORMATION 

16. A. Have you ever been denied a license for business, trade, or profession (e.g., CPA, real estate broker, physician, patent practitioner)? □ Yes x No 

 

B. Have you ever had a business, trade, or professional license revoked? □ Yes x No 

If you answered yes to 16A and/or 16B, please provide the following information for each denial or revocation: 

Name of Regulatory Agency 

Address 

City State Zip 

Agency Action Date 

Explanation 

 

17. A. Have you ever been suspended, censured, or otherwise reprimanded or disqualified as a member of another profession, or as a holder of public office? □ Yes x No 

 

B. Have you ever been the subject of any charges, complaints, or grievances (formal or informal) concerning your conduct as a member of any other profession, or as a holder of public office, including any now pending? □ Yes   No 

If you answered yes to 17A and/or 17B, please provide the following information for each matter: 

Name of Regulatory Agency 

Address 

City State Zip 

Agency Action Date 

Explanation 

 

18. Has any surety on any bond on which you were the principal been required to pay any money on your behalf? 

□ Yes x  No 

If yes, complete FORM 2. 

 

19. Have you ever been a named party to any civil action? □ Yes x   No 

NOTE: Family law matters (including continuing orders for child support) should be included here. 

If yes, complete a separate FORM 3 for each action. Attach a copy of the pleadings and final disposition. 


 


CHARACTER AND FITNESS INFORMATION

20. Have you ever had a complaint or action (including, but not limited to, allegations of fraud, deceit, misrepresentation, forgery, legal malpractice) initiated against you in any administrative forum? □ Yes x   No 

If yes, complete a separate FORM 3A for each complaint or action. 

 

21. A. Have you ever been cited for, arrested for, charged with, or convicted of any alcohol- or drug-related traffic violation other than a violation that was resolved in juvenile court? □ Yes x  No 

If yes, complete a separate FORM 5 for each incident. 

 

B. Have you been cited for, arrested for, charged with, or convicted of any moving traffic violation during the past ten years? (Omit parking violations.) □ Yes x  No 

If yes, report each incident on FORM 5T. 

NOTE: Your responses to Questions 21A and/or 21B must include matters that have been dismissed, expunged, subject to a diversion or deferred prosecution program, or otherwise set aside. 

 

22. Have you ever been cited for, arrested for, charged with, or convicted of any violation of any law other than a case that was resolved in juvenile court? (Report traffic violations at Questions 21.) 

□ Yes  x  No 

If yes, complete a separate FORM 5 for each incident. 

NOTE: Include matters that have been dismissed, expunged, subject to a diversion or deferred prosecution program, or otherwise set aside. 

 

23. Have you ever filed a petition for bankruptcy? □ Yes x   No 

If yes, complete a separate FORM 4 for each bankruptcy. 

 

24. A. Have you had any debts of $500 or more (including credit cards, charge accounts, and student loans) which have been more than 90 days past due within the past three years? 

□ Yes x   No 

B. Have you ever had a credit card or charge account revoked? □ Yes x   No 

C. Have you ever defaulted on any student loan? □ Yes x   No 

D. Have you ever defaulted on any other debt? □ Yes x  No 

If yes to Questions 24A, 24B, 24C, and/or 24D, complete a separate FORM 6 for each debt. 


 


CHARACTER AND FITNESS INFORMATION 

PREAMBLE TO QUESTIONS 25, 26, and 27  

Through this application, the National Conference of Bar Examiners makes inquiry about recent mental health and addiction matters. This information, along with all other information, is treated confidentially by the National Conference and will be disclosed only to the jurisdiction(s) to which a report is submitted. The purpose of such inquiries is to determine the current fitness of an applicant to practice law. The mere fact of treatment for mental health problems or addictions is not, in itself, a basis on which an applicant is ordinarily denied admission in most jurisdictions, and boards of bar examiners routinely certify for admission individuals who have demonstrated personal responsibility and maturity in dealing with mental health and addiction issues. The National Conference encourages applicants who may benefit from treatment to seek it. 

Boards do, on occasion, deny certification to applicants whose ability to function is impaired in a manner relevant to the practice of law at the time that the licensing decision is made, or to applicants who demonstrate a lack of candor by their responses. This is consistent with the public purpose that underlies the licensing responsibilities assigned to bar admission agencies; further, the responsibility for demonstrating qualification to practice law is ordinarily assigned to the applicant in most jurisdictions. 

The National Conference does not ordinarily seek medical records, although the jurisdiction in which the applicant is seeking admission may do so. 

The National Conference does not, by its questions, seek information that is fairly characterized as situational counseling. Examples of situational counseling include stress counseling, domestic counseling, grief counseling, and counseling for eating or sleeping disorders. Generally, the National Conference and the various boards of bar examiners do not view these types of counseling as germane to the issue of whether an applicant is qualified to practice law. 

 

25. Within the last five years, have you been diagnosed with or have you been treated for bipolar disorder, schizophrenia, paranoia, or any other psychotic disorder? □ Yes x   No 

If you answered yes, complete FORMS 7 & 8. Duplicate FORMS 7 & 8 as needed. 

 

26. A. Do you currently have any condition or impairment (including, but not limited to, substance abuse, alcohol abuse, or a mental, emotional or nervous disorder or condition) which in any way currently affects, or if untreated could affect, your ability to practice law in a competent and professional manner? x   Yes □ No 

B. If your answer to Question 26(A) is yes, are the limitations caused by your mental health condition or substance abuse problem reduced or ameliorated because you receive ongoing treatment (with or without medication) or because you participate in a monitoring program? x  Yes □ No 

If your answer to Question 26(A) or (B) is yes, complete FORMS 7 & 8. Duplicate FORMS 7 & 8 as needed. As used in Question 26, "currently" means recently enough so that the condition could reasonably have an impact on your ability to function as a lawyer. 


 


CHARACTER AND FITNESS INFORMATION 

27. Within the past five years, have you ever raised the issue of consumption of drugs or alcohol or the issue of a mental, emotional, nervous, or behavioral disorder or condition as a defense, mitigation, or explanation for your actions in the course of any administrative or judicial proceeding or investigation; any inquiry or other proceeding; or any proposed termination by an educational institution, employer, government agency, professional organization, or licensing authority? 

□ Yes  x No 

If you answered yes, furnish a thorough explanation below: 

Name of Entity before which the issue was raised (i.e., court, agency, etc.) 

Address 

City State Zip Telephone ( ) 

Nature of the Proceeding 

Date of Disposition 

Disposition 

Explanation 


 

  

ACKNOWLEDGMENT OF COMPLETE APPLICATION  

I have read the foregoing document and have answered all questions fully and frankly. The answers are complete and true to the best of my knowledge. I have not modified the questions in any respect, and I understand that should they be modified, work on my application by NCBE will be terminated and any fees paid to NCBE will be forfeited. I understand that I should update my application during its pendency and that failure to do so may result in delays in its processing. 

STATE OF______________________________ 

COUNTY OF____________________________ 

Signature of Applicant 

Subscribed and sworn to or affirmed before me this __________ day 

of , 

Month Year 

Notary Public 

My commission expires 

Seal or stamp must be affixed to each original. 

Attach three original notarized copies of the Authorization and Release Form. 

 

 

 

} 

 

ss. 



DO NOT ALTER THESE FORMS 

Execute Three Original Copies 

Please Use Black or Blue Ink 

AUTHORIZATION AND RELEASE  

I, Patricia Jane Heart ,  born at Smalltown, Central, USA, on January 1, 1982, having filed an application with the admission authority of the bar of Central as one of the following: Law Student Registrant, Motion/Reciprocity Applicant, Bar Examination Applicant, In-House Counsel, Notary Public, or Foreign Legal Consultant, hereby apply for a character report to be prepared by the National Conference of Bar Examiners. I further consent to the National Conference of Bar Examiners conducting an investigation as to my moral character, professional reputation, and fitness for the practice of law. I further agree to provide additional information which may be required concerning my past record. I understand that the contents of my character report are confidential and shall be reported only to bar admissions authorities for the purpose of making a determination regarding my character and fitness to practice law. 

I also authorize and request every person, firm, company, corporation, association, court, school, college, university, other educational institution, governmental agency, law enforcement agency, and any other agency having control of any records, files, documents, writings or other information pertaining to me to furnish to the National Conference of Bar Examiners any such information regarding any and all (including those dismissed or otherwise erased or expunged by law, whether formal or informal, pending or closed) charges, complaints, disciplinary actions, grievances, sanctions, suspensions, reprimands, disqualifications, censures, resignations, terminations, citations, arrests, indictments, convictions, judgments, court-martials, non-judicial punishments, administrative discharges, or any other pertinent data or information pertaining to me. I further authorize the National Conference of Bar Examiners or any of its agents or representatives to inspect and make copies of such documents, records, or other information. The records, however, will not include any information with respect to a juvenile offense. 

I authorize the National Personnel Records Center in St. Louis, MO, or other custodian of my military record to release to the National Conference of Bar Examiners information or photocopies from my military record. 

I hereby release, discharge, and exonerate the National Conference of Bar Examiners, its agents and representatives, the admitting authority of the above jurisdiction, its agents and representatives, and any person so furnishing information from any and all liability of every nature and kind arising out of the furnishing or inspection of such documents, records, and other information, or the investigation made by the National Conference of Bar Examiners or by the admitting authority. 

STATE OF CENTRAL

COUNTY OF WHERE

Signature of Applicant  Patricia Jane Heart

Subscribed and sworn to or affirmed before me this 5th day of  August, 2009

Notary Public ftÅ f|zÇxÜ

My commission expires 1/1/12

Seal or stamp must be affixed to each original. 

Signature of Applicant 

 


 

To be used with Questions 25 and 26 

FORM 7 / AUTHORIZATION TO RELEASE MEDICAL RECORDS  

Upon presentation of the original or a photocopy of this signed authorization, 

I (Applicant's Name)   Pat Heart

authorize 

Name of Institution, Doctor, or Counselor Address   Nancy R. Krasa, Ph.D

City State Zip      Everycity, Central

to provide information, including copies of records, concerning advice, care, or treatment provided to me, without limitation relating to mental illness or the use of drugs or alcohol, to representatives of the National Conference of Bar Examiners who are involved in conducting an investigation into my moral character, professional reputation, and fitness for the practice of law. I understand that any such information as may be received will be reported only to the admitting authority. 

I hereby release, discharge and exonerate the National Conference of Bar Examiners, its agent and representatives, the admitting authority, its agent and representatives, and (Name of Institution, Doctor, or Counselor) 

Nancy R. Krasa, Ph.D  , their agents and representatives so furnishing information from any and all liability of every nature and kind arising out of the furnishing or inspection of such documents, records and other information, or the investigation made by the National Conference of Bar Examiners or the admitting authority. 

Signature of Applicant  Patricia Jane Heart

Subscribed and sworn to or affirmed before me this 5th day of  August, 2008 

Notary Public ftÅ f|zÇxÜ

My commission expires 1/1/11

Seal or stamp must be affixed to each original. 

The National Conference of Bar Examiners is aware of your obligations under HIPAA. 

 


To be used with Questions 25 and 26 

FORM 8 / DESCRIPTION OF MENTAL HEALTH OR  

SUBSTANCE ABUSE CONDITION OR IMPAIRMENT  

 

Name    Patricia Jane Heart   000-00-0000

Dates of treatment: From Mo/Yr To Mo/Yr    June 2007- date

Name and complete address of attending physician or counselor:  Nancy R. Krasa, Ph.D

Physician's or Counselor's current address     2099 Professional Bldg

City State Zip        Everycity, Central

Telephone  880-809-0999

Name and complete address of hospital or institution: 

Name of hospital or institution 

Hospital's or Institution's current address 

City State Zip 

Telephone ( ) 

Describe the condition or problem I am currently being treated for a Central Processing Disorder and anxiety, more specifically test anxiety.  If untreated, I could still practice law in a competent and professional manner. However, it is my intention to practice law in a low key environment in order to minimize the anxiety, and to control my processing disorder, so that I will be an even stronger attorney as I practice law. I can function normally, I just have difficulty processing information and/or communications that are delivered rapidly; which is why I have significant problems with test taking. Even with my disorders, I can still practice law in a competent and professional manner.

 

Describe any treatment and/or monitoring program : Buspar and talk therapy

 

The National Conference of Bar Examiners is aware of your obligations under HIPAA.