Fill and Sign the Case Number Defendants United States District Court Form

STUDENT APPLICATION TO APPEAR UNDER THE STUDENT PRACTICE RULE CV-93 (07/05) (LOCAL CIVIL RULE 83-4) Page 1 of 2 UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA PLAINTIFF(S), v. DEFENDANT(S). CASE NUMBER STUDENT APPLICATION TO APPEAR UNDER THE STUDENT PRACTICE RULE(LOCAL CIVIL RULE 83-4) I, , hereby apply to the Court for permission to appear (Name of Student) under the supervision of on behalf of (Name of Supervising Attorney) (Name of Client) in the above entitled case. I declare under penalty of perjury that I am eligible to pa rticipate under the Student Practice Rule of the United States District Court, Central District Of California. Attached are all documents supporting my eligibility as required by this Rule. I understand that I am bound by the provisions of the Student Practice Rule and that the Judge may deny permission for me to appear at any time. Date Student’s Signature REQUEST TO UNDERTAKE SUPERVISION I, , hereby request permission to supervise (Name of Supervising Attorney) to appear on behalf of (Name of Student) (Name of Client) in the above entitled case. I declare under penalty of perjury that I understand my r esponsibilities as supervising attorney and I will immediately inform the Court of any changes in the student's eligibility. Date Supervising Attorney’s Signature STUDENT APPLICATION TO APPEAR UNDER THE STUDENT PRACTICE RULE CV-93 (07/05) (LOCAL CIVIL RULE 83-4) Page 2 of 2 (Name of Dean of Law School) (Law School) (Name of Student) (Law School) I hereby consent to to appear on my behalf in the (Name of Student) above entitled case. Date Client’s Signature CERTIFICATE OF THE DEAN OF THE LAW SCHOOL I, , Dean of , hereby certify to the Court that is currently enrolled in and is in good standing with the la w school, has completed one-half of the legal studies required for graduation and has completed the course work required to participate under the Student Practice Rule of the United States District Court, Central District of California. I certify that is a law school accredited by the American Bar Association or The State Bar of California. I further certify that I know of no reason that would render this student ineligible under the Student Practice Rule. I understand that this certification will remain in effect un til the student graduates or until withdrawn. In the event this certification is withdrawn by me, I will immediately notify the Court, the student and the supervising attorney in writing stating the reasons of the withdrawal. Date Sign Title ORDER The student's application to appear in this case is hereby: G Granted. G Denied. Date United States District Judge