WIXLIB

IN THE SUPREME COURT OF THE STATE OF OREGONIn The Matter of the Application of (please type full name):For Admission to Practice Law in the State of OregonApplication is being made for: July 2022 Exam Bar Examination. (See Rule 5.15).This application cannot be used forany other bar examination. (See Rule 4.10(7) Regarding Withdrawal).Please note: Timely filing deadline is 4/15/2022.TESTINGACCOMMODATIONSIf you require testing accommodations on the Oregon bar examination, you must complete andsubmit the July 2022 Exam Application and the Applicant Request for Test Accommodationsand supporting documents by the timely filing deadline. (April 15, 2022) You can find theform by visiting our Forms Library on our website at http://www.osbar.org/admissions.ACKNOWLEDGEMENT THAT EXAM SITES AND TYPE IS NOT YET ESTABLISHEDThe July 2022 Oregon Bar Exam is presently scheduled to be a Uniform Bar Exam (UBE) that will be taken in-person. This exammay be given at multiple sites throughout the Portland Metro area, or may be spread further south into the WillametteValley. However, due to COVID-19, these plans may change. Our resources may limit the number of sites at which we canhost an in-person exam, and federal or state health authorities may require greater social distancing than our current testingplans. In such event, we may have to place limits on the number of exam seats available. If it is determined that a saferapproach is to provide a remote exam, and this is ordered or approved by the Oregon Supreme Court, then we will give aremote exam instead. It is up to the National Conference of Bar Examiners (NCBE) to determine whether a remote exam willbe given UBE status. If the NCBE elects not to give UBE status to a remote exam, we will work with other jurisdictions to ensuremaximum transferability of any earned remote exam score. By submitting a July 2022 application, you acknowledgethe possibility of a remote exam, and agree that you will not be entitled to any damages, fees or refunds beyond thosepermitted in RFA 4.10(7) should July 2022 exam become a remote exam.LAPTOP USERSIn-Person Exam: If the July 2022 Oregon Bar Exam is held in-person, then all applicants wishing to take the Oregon BarExamination using a laptop computer must purchase and install the relevant computer program or application from theexam testing software vendor selected for this exam. Our vendor is ILG Technologies, and laptop users will have to payILG its laptop registration fee of 150, regardless of whether they paid this same amount for a prior exam. The fee is to setupthis July's exam. If you elect to test using a laptop computer, by submitting this application you acknowledgethat the use of electronic technology carries with it some risks and that you assume these risks. If you areunable to take the exam by laptop, for any reason, you will be obligated to handwrite your remaining answersfor this exam.Remote Exam: If the July 2022 Oregon Bar Exam is held remotely, then all applicants must take theexamination using a laptop computer and purchase and install the software program used by the testing softwarevendor selected by the Oregon State Board of Bar Examiners (Board). For any remote exam, your computer must meetthe minimum system requirements for the software, you must have access to a reliable internet connection and aworking webcam and microphone. You may be required to have multiple working cameras in the exam room. Youwill be emailed registration information with the vendor at least a few weeks before the bar examination. By submittingthis application, you acknowledge that it is your responsibility to ensure that your computer meets thesespecifications. By submitting your application, you also acknowledge that you are responsible for your own remoteexam environment, and that the environment must comply with all rules, policies and procedures established by the Boardfor a remote exam.Page 1 of 15Application for Admission to Practice Law in the State of OregonJuly 2022

July 2022 Bar Examination ApplicationGENERAL INSTRUCTIONS If space is insufficient for any answer, type your answer in a separate word processing document, print, scan andattach that sheet to this application before Smarthsheet submission.Err on the side of over-disclosure.Answer every question. If a question is not applicable to you, answer the question “Not Applicable”Include original of the signed Declaration and Authorization Form (Page 15)Provide the full number, street name, city, state and zip code for each address.If an answer to any question changes before your admission, you are obligated to update your application. (See #3of Declaration Authorization Form (Page 15))Complete all the forms required Sign all the forms requiring your signatureNo exceptions to the filing deadlines will be granted. Timely filing deadline is 4/15/2022 If you withdraw in accordance with Rule 4.10(1)(g), you will receive a partial refund of your application feeequaling 375.It is an applicant’s duty to obtain and provide the information requested for all questions (Rule 4.25). Personal InformationSECTION 11Full Legal Name:Social Security Number:2Mailing Address:Primary PhoneNumber:Cell PhoneNumber:3RequiredDate of Birth:NCBE Number (8 digits): NGo to www.ncbex.org/ncbe-number to create an NCBEaccount and request an NCBE Number. Your unique NCBENumber will be used to identify your scores whenever youtake the Multistate Bar Examination (MBE) or the MultistateProfessional Responsibility Examination (MPRE).Use the NCBE Account Lookup to determine if you alreadyhave an NCBE Number.4Email Address:Place of Birth:MaleFemaleX(Failure to include will result in your not receiving importantnotices regarding the Bar exam)Page 2 of 15Application for Admission to Practice Law in the State of OregonJuly 2022

General Questions Applicable to ALL ApplicantsSECTION 25678If you have ever been known by any other name, nickname or alias, provide that name and the reason(s) you usedthat name:Are you presently married?YesNoIf yes, provide date of marriage:Full name of SpouseHave you ever been divorced, separated or had a marriage annulled or set aside?YesNoIf yes, please provide court and case number(s):9CourtCase #CourtCase #Have you ever been required to pay child support, alimony, or family support as a result of a divorce, annulment orother court proceeding?YesNoIf yes, are you current on your child support, alimony or family support payments?YesNoPlease provide information regarding the support order, including the case number and court or administrativeagency. If your child support obligation is in arrears, please state the total of past due support.10Are you currently in the armed forces?YesNoList which branch:Have you ever been a member of the armed forces?YesNoList which branch:Years of Service: Highest Rank Achieved: Rank at time of Discharge:If you are no longer a member of the armed forces, were you honorably discharged?YesPage 3 of 15No(please explain on a separate sheet)Not ApplicableApplication for Admission to Practice Law in the State of OregonJuly 2022

11List all residential addresses where you have lived for the past five years. (Attach additional sheet if necessary)Address, City, State, and Zip CodePage 4 of 15Application for Admission to Practice Law in the State of OregonPeriod of ResidenceJuly 2022

12List each jurisdiction that has ever issued you a driver’s license. You do not need to provide DMV records.The Board of Bar Examiners will obtain your records.State (or country) issuing license13Time period during whichlicense was in effectLicense #List every post-secondary educational institution (other than law school) you have attended:InstitutionPage 5 of 15LocationPeriod ofAttendanceApplication for Admission to Practice Law in the State of OregonDegreeEarnedJuly 2022

14List every law school you have attended or are currently attending: (If you are a graduate of a foreign law schoolplease see Question 25)Law School15LocationPeriod ofAttendanceDate orExpected DateOf GraduationDay orEveningStudentIf this is not your first application for admission in Oregon, give the date of each previous application, thereason(s) why you were not then admitted and, if an application was withdrawn, the reason(s) for the withdrawal:Month /Year of ExaminationAnd/or Other Type of ApplicationPage 6 of 15Reason Not Admitted/Reason WithdrawnApplication for Admission to Practice Law in the State of OregonJuly 2022

16Specify each application you have made to practice law in any jurisdiction (other than Oregon):Application By:17 ExaminationReciprocityOn MotionOther ExaminationReciprocityOn MotionOther ExaminationReciprocityOn MotionOther ExaminationReciprocityOn MotionOtherState orCountryMonth/YearAppliedDate ofAdmissionIf Not Admitted, State the Reason(s)Have you ever previously been admitted to practice law in Oregon under any other rule, such as House Counsel orLaw Teacher?YesNoIf yes, please provide your Bar #:SECTION 318Questions Regarding Character and FitnessIf, in connection with any application you made for admission to practice law in any other state, territory or countryyou were requested to give any information regarding character and fitness beyond completing that jurisdiction'sstandard application for admission, explain what occurred:Page 7 of 15Application for Admission to Practice Law in the State of OregonJuly 2022

19List your current and previous five employers and state the dates you were employed by them. Includeintern/externships and volunteer work only if you were fired or disciplined or if you don't have 6 prior employers.List your supervisor, if applicable, and indicate if that person is no longer employed there. Provide the full andcorrect name, address, city, state and zip code for each address. If a company is no longer in business, look up the companyin which you worked on the Secretary of State's website and list its current contact information or registered agent. Theseare any employment relationships and need not be law related.Name and Complete Address:Occupation / Position:Period of Employment:Reason for Leaving:Name and Complete Address:Occupation / Position:Period of Employment:Reason for Leaving:Name and Complete Address:Occupation / Position:Period of Employment:Reason for Leaving:Name and Complete Address:Occupation / Position:Period of Employment:Reason for Leaving:Name and Complete Address:Occupation / Position:Period of Employment:Reason for Leaving:Name and Complete Address:Occupation / Position:Period of Employment:Reason for Leaving:Page 8 of 15Application for Admission to Practice Law in the State of OregonJuly 2022

20List five (5) responsible people who are in a position to attest to your character and fitness to practice law. Thereare no statements for these references. The Board of Bar examiners will contact these references as needed.(1) Your acquaintance with the people listed should be more than casual and of substantial duration.(2) Do not list more than one law teacher and one current bar applicant.(3) Do not list any former supervisors listed in Question 20 unless the supervisor is no longer working at that place of employment.(4) Do not list any Justice of the Oregon Supreme Court.(5) You may list close family members, but recognize that their obvious bias may limit the probative value of their reference.Name and Complete Address:Nature and Length ofAcquaintance:Phone #:Email:Name and Complete Address:Nature and Length ofAcquaintance:Phone #:Email:Name and Complete Address:Nature and Length ofAcquaintance:Phone #:Email:Name and Complete Address:Nature and Length ofAcquaintance:Phone #:Email:Name and Complete Address:Nature and Length ofAcquaintance:Phone #:Email:Page 9 of 15Application for Admission to Practice Law in the State of OregonJuly 2022

21In order to protect the public, the Oregon State Board of Bar Examiners must evaluate the character and fitness of applicantsfor admission to practice law. To this end, an inquiry into past or present conduct or behavior is necessary to ensure anapplicant’s ability to practice law in a competent, ethical, and professional manner.The burden for demonstrating character and fitness to practice law rests with the applicant. The Oregon State Board of BarExaminers may recommend denial for admission if an applicant failed to recognize or seek appropriate help for problematicconduct or their behavior currently impairs their ability to practice law. The Oregon State Board of Bar Examiners looksfavorably upon applicants who have demonstrated accountability and maturity in addressing personal issues.If you answer "YES” to any of the following questions, YOU MUST attach a separate page with a detailed explanationof the underlying circumstances, consequences, and resolution. Information pertaining to the following questions will bedisclosed only pursuant to Rule for Admission 2.15. Lack of complete candor in your responses is a basis for denial ofadmission to the bar.YOU MUST provide a credit report if you answer “YES” to question (k)-(s) :YESa. Have you ever been investigated for academic misconduct or dropped, suspended,expelled, or disciplined by any school for any cause whatsoever?b. Has anyone to your knowledge, ever complained to your law school or other supervisingbody in connection with your conduct under a student practice or legal intern rule?c. Have you ever been investigated, disciplined, demoted, terminated or asked to resign fromemployment?d. Have you ever applied for any license or certification, other than as an attorney, theprocurement of which required proof of "good moral character" (e.g., CPA, patent agent,notary public, real estate broker, physician, nurse)?Have you ever had this type of license denied, suspended, revoked or have you resignedsuch license while under investigation by the licensing agency?e. Have you or someone you work with been charged with or investigated for theunauthorized practice of law as a result of your conduct?f.Have you or anyone you worked with, been sanctioned, censured, reprimanded,disciplined, suspended, disqualified or disbarred as a member of any profession as a resultof your conduct?g. Have you ever been suspended or removed from a public office or position?h. Have you ever been subject to any disciplinary action in connection with military service?i.Have you ever been investigated, or subject to a civil proceeding, for fraud or dishonesty?j.Have you ever been a party to any civil proceeding, including any bankruptcy oradministrative proceeding? Do not consider proceedings in which you were subject to apetition for guardianship, conservatorship, or civil commitment in answeringthis question.k. Have you ever had a tendered payment denied, rejected or returned due to insufficientfunds?l.Do you now have any loans, accounts, judgments or financial obligations of any nature,including child support payments and student loans, past due for payment more than 60days?Page 10 of 15Application for Admission to Practice Law in the State of OregonJuly 2022NO

m. Have you ever received notice of default on a loan?n. Do you currently owe back taxes to any taxing authority?o. Are there any liens, other than a mortgage or auto loan, on your personal or real property?p. Have you ever been evicted from a property that you owned, leased, or rented? Have youmoved from a property that you owned, leased or rented while under threat of beingevicted?q. Has any surety on any bond on which you were the principal or obligor been required topay any money on your behalf?r.Have you ever been denied a bond, had a bond revoked, or had anyone seek to recoverupon or cancel a bond?s. Have you ever been charged with contempt of court?t.Have you ever engaged in sexual misconduct, harassment or stalking? (“Sexualmisconduct” means any unwelcome behavior of a sexual nature that is committed withoutconsent or by force, intimidation, coercion, or manipulation. “Stalking” means engagingin a course of conduct directed at a person that serves no legitimate purpose and alarms,annoys or intimidates that person.)u. Have you ever been found to have violated a law or policy prohibiting sexualmisconduct, harassment or stalking?v. Have you ever entered into a settlement of a matter in which you were alleged to haveviolated a law or policy prohibiting sexual misconduct, harassment or stalking?w. Have you ever been subject to a temporary or permanent restraining order, including astalking or no contact order?x. Have you ever had a weapon confiscated by any law enforcement agency? Have you everhad the purchase or transfer of any weapon delayed or denied for any reason? Have youever been prohibited from purchasing a weapon?y. Have you ever been accused of neglecting or abusing anyone in your care or charge?z. Have you ever been accused of neglecting or abusing an animal in your care or charge?aa. In the last five years, have you been cited for any civil (non-criminal) infractions such asspeeding, and/or other minor traffic violations? You may exclude parking tickets.bb. Including any matters that may have been expunged, except expunged juvenilematters, have you ever been cited, arrested, charged or convicted of a criminaloffense? If yes, on a supplemental sheet, provide the following information: 1)date of incident; 2) location of incident; 3) basic allegation or description ofcharge; 4) disposition of investigation or charge; 5) court or agency maintaininga record of the investigation, disposition or charge; and 6) any file or case numberused by the court or agency to refer to the case or incident.cc. Is there any additional information with respect to possible misconduct or lack of moralqualification or general fitness on your part that is not otherwise disclosed by youranswers to questions in this application? If yes, please explain.Page 11 of 15Application for Admission to Practice Law in the State of OregonJuly 2022

22In order to protect the public, the Oregon State Board of Bar Examiners must evaluate the character and fitness of applicants foradmission to practice law. To this end, an inquiry into past or present conduct or behavior is necessary to ensure an applicant’sability to practice law in a competent, ethical, and professional manner.The burden for demonstrating character and fitness to practice law rests with the applicant. The Oregon State Board of BarExaminers may recommend denial for admission if an applicant failed to recognize or seek appropriate help forproblematic conduct or their behavior currently impairs their ability to practice law. The Oregon State Board of BarExaminers looks favorably upon applicants who have demonstrated accountability and maturity in addressing personal issues.If you answer "YES” to any of the following questions, YOU MUST attach a separate sheet of paper with a detailedexplanation of the underlying circumstances, consequences, and resolution. Information pertaining to the following questionswill be disclosed only pursuant to Rule for Admission 2.15. Lack of candor in your responses is a basis for denial ofadmission to the bar.YESNOa. Within the past five years, have you had any instances, or exhibited any conduct orbehavior, that could call into question your ability or capacity to satisfy any of thefollowing criteria, with or without reasonable accommodations:i. to undertake fundamental lawyering skills such as problem solving, legal research,analysis and reasoning, factual investigation, organization and management of legalwork, making appropriate reasoned legal judgments, and recognizing and resolvingethical dilemmas.ii. to communicate legal judgments and legal information to clients, other attorneys,judicial and regulatory authorities.iii. to perform legal tasks in a timely manner.iv. to be aware of, control, and appropriately express one’s emotions in a professionalsetting.v. to maintain respectful professional relationships.b. Have you been subject to any discipline or remediation for unprofessional,or disruptive or erratic behavior?c.Are you currently subject to a petition for guardianship, conservatorship, or civilcommitment, or have you been subject to a guardianship, conservatorship, or civilcommitment within the past five years that may affect your current ability to practice lawin a competent, ethical, and professional manner? (“Ethical manner” means compliancewith the Oregon Rules of Professional Conduct.)?d. Has any employer, profession, school, club or organization found you in violationof its Code of Conduct?e.Within the past five years have you used alcohol or drugs to such an extent that it couldimpair your current ability to practice law in an ethical manner? Do not answer thisquestion in the affirmative if you have successfully completed, or are receiving, treatmentfor alcohol or drug use and do not currently use alcohol or drugs to such a

B. Repeat Bar Exam Applicants. 1. If you are a repeat bar exam applicant submitting an application . within ten (10) years. of your last application, you can purchase a copy of your previous application.