Form 2-1 - The Law Society of Alberta

Form 2-1
(Rule 50)
Application for Admission as a Student-at-Law
Under Section 40(1) of the Legal Profession Act
This application is made to the Executive Director of the Law Society of Alberta for admission to the Law Society of Alberta as
a student-at-law.
1.
Name of Applicant:
First
Middle
Last
Mailing Address:
City:
Province:
Telephone Number:
Postal Code:
Fax Number:
E-Mail Address:
(optional)
Residential Address:
(if different than above)
City:
Province:
Telephone Number:
Postal Code:
Fax Number:
Date of Birth:
Place of Birth:
2.
My name has been changed. (If "Yes", please explain on a separate attached page with a
Yes
No
notarized official documentation of the change.)
3.
(a)
I have received or am entitled to receive in ______ (year) a bachelor of laws degree
or juris doctor degree from a faculty of common-law at a Canadian university, namely
the University of ___________________________________________.
Yes
No
(b)
I have received or am entitled to receive in ______ (year) a bachelor of laws degree
or juris doctor degree from a faculty of civil law at a Canadian university, namely the
University of ___________________________________________.
Yes
No
(c)
I have received or am entitled to receive in ______ (year) a non-Canadian law
degree from the University of ___________________________________________.
Yes
No
(d)
I have asked the university from which I have obtained my law degree to send my
official original transcripts directly to the Law Society.
Yes
No
Yes
No
If "Yes" to (b) or (c) above, complete (i) below:
(i)
The Federation of Law Societies' National Committee on Accreditation (the
NCA) has evaluated my law degree.
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June 2015
The Law Society of Alberta
4.
Form 2-1
Application for Admission as a Student-at-Law
I have pleaded guilty to or been found guilty of:
(a)
an indictable offence under any Act of the Parliament of Canada;
Yes
No
(b)
an offence under any Act of the Parliament of Canada where the offence was
prosecutable either as an indictable offence or a summary conviction offence;
Yes
No
(c)
a summary conviction offence under the Income Tax Act, Criminal Code, the
Narcotic Control Act, the Controlled Drugs and Substances Act or the Food and
Drugs Act of Canada, or the Income Tax Act or Securities Act of any province of
Canada;
Yes
No
(d)
a summary conviction offence under any other law in force in Canada punishable by
a fine if the maximum fine for the offence was then at least $25,000;
Yes
No
(e)
an offence committed outside Canada and similar to any of the kinds of offences
described in clauses (a) to (d);
Yes
No
(f)
I have received a pardon for an offence described in clauses (a) to (e).
Yes
No
5.
I have pleaded guilty to or been found guilty of academic misconduct.
Yes
No
6.
There are proceedings currently pending in respect of charges against me for an offence of
any of the kinds described in sections 4 or 5.
Yes
No
7.
I am an undischarged bankrupt.
Yes
No
8.
I have been a bankrupt.
Yes
No
9.
I am a judgment debtor.
Yes
No
10.
I have had a civil judgment made against me relating to fraud.
Yes
No
11.
I have disobeyed an order of a court.
Yes
No
12.
I have previously used a name other than that shown in this application.
Yes
No
13.
I am, or have been, a member of an extraprovincial law society or otherwise entitled to
practise law in a jurisdiction outside Alberta. (If applicable, provide a Certificate of Standing from
Yes
No
any such jurisdictions.)
14.
I have been found guilty in a disciplinary or unauthorized practice proceeding instituted
against me by an extraprovincial law society or as a member of any other professional
organization.
Yes
No
15.
There are disciplinary or unauthorized practice proceedings pending against me by an
extraprovincial law society or by any other professional jurisdiction.
Yes
No
16.
I have been, or am currently, the subject of a suspension, investigation, supervision,
undertaking, conditions, insurance claim (self-reported or otherwise) or similar process
including but not limited to Conduct, Audit, Practice Review, or competence related
proceedings by direction of a governing body of the legal profession in a jurisdiction other
than Alberta.
Yes
No
17.
I have been refused registration as a student-at-law or articled law clerk in a jurisdiction
outside Alberta.
Yes
No
18.
I have been refused membership in an extraprovincial law society or refused a license or
other authorization to practise law in a jurisdiction outside Alberta.
Yes
No
19.
I have had a claim paid by a current or previous errors and omissions insurer as a result of
my negligence in my capacity as a lawyer or a claim under such insurance is pending
against me.
Yes
No
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The Law Society of Alberta
20.
Form 2-1
Application for Admission as a Student-at-Law
(a)
I have reviewed the current Chapter 2 of the Code of Conduct for the Law Society of
Alberta, dealing with competence, in its entirety;
Yes
No
(b)
There are events, circumstances or conditions, other than those mentioned above,
that are potentially relevant to my competence to practise law (as competence is
used in Chapter 2), including, without limitation, circumstances relating to mental or
physical disability or substance abuse.
Yes
No
Yes
No
21.
Full particulars in regard to any affirmative statement made in sections 4 to 20 (other than
paragraph 20(a)) inclusive accompany this application.
22.
I hereby promise the Society that I will at all times while registered with the Society as a student-at-law faithfully and to
the best of my ability perform my obligations as a student-at-law under my articles of clerkship and under the Legal
Profession Act, the Rules of the Society and any code of ethical standards authorized or established by the Benchers
of the Society.
23.
I hereby authorize the Society to make enquiries of any person or government, any official or body, including, without
limitation, any police or academic authority, with regard to my background or character. I hereby consent to any such
person or government, or official or body, disclosing to the Law Society any such information necessary for it to
process my application for admission or for it to carry out other regulatory functions or responsibilities. On request by
the Executive Director, I will furnish any additional specific authorization or any release that is required for the purpose
of enabling the Society to obtain information related to my background or character.
DECLARATION
I, ________________________________ solemnly declare that all information provided by me in this application or
supplemental thereto, and in the documents furnished in connection with this application, is true, and I make this solemn
declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Declared before me
)
at: __________________________________________
)
on __________________________________________
)
)
)
)
A Commissioner for Oaths for the Province of Alberta
(Out-of-Province Applicants – please declare this
document before a Notary Public)
)
Applicant’s Signature
)
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June 2015