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
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,
Of what country are you a citizen? US
If you are not a citizen of the
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:
Everycity, Central
Check if address is ⌧ Residence or □
Business
If business, name of firm
Address/P.O. Box
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
Country if not the
■
From Mo/Yr To Mo/Yr 2002-2006
Address
Country if not the
■
From Mo/Yr To Mo/Yr 2001-2002
Address
Country if not the
■
From Mo/Yr To Mo/Yr 1983-2001
Address
Country if not the
■
From Mo/Yr To Mo/Yr
Address
Country if not the
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
Country/Province
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.
Country/Province
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
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
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
Supervisor/Associate Marian Librarian
Employer
or Firm Address
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
Country if not the
E-mail
garrisonj@BWSLAW.COM
From Mo/Yr To Mo/Yr September 2007-January 2008
Position Research
Assistant
Employer or Firm
Professor Stanley
Supervisor/Associate
Employer or
Country if not the
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
Country if not the
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
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
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
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
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
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
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
Current Status of License
License Number (if
applicable)
Issuing Authority
Address
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
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
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
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______________________________
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
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
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
Telephone 880-809-0999
Name and complete address of hospital or institution:
Name of hospital or institution
Hospital's or Institution's current address
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.