Re: Application of
I,
, hereby authorize and request every school official and every other
person, firm, officer, corporation, association, organization, or institution having control of any documents, records, or other information pertaining to me relevant to my moral character and fitness to perform the responsibilities of an attorney to furnish copies of any such documents, records, and other information to said Board, or any of its representatives.
I hereby authorize all such persons as set out above to answer any questions concerning the undersigned that may be submitted to them by the Georgia Board to Determine Fitness of Bar Applicants or its authorized representatives, and to appear before said Board, or its authorized representatives, and to give full and complete testimony concerning the undersigned, including any information furnished by the undersigned. I hereby relinquish any and all rights to reports or other information incident in any way to cooperation with the Georgia Board to Determine Fitness of Bar Applicants, or its authorized representatives, and fully understand that I shall not be entitled to have disclosed to me the contents of any of the foregoing.
I hereby release and exonerate every school official and every other person, firm, officer, corporation, association, organization, or institution that complies in good faith with the authorization and request made herein from any and all liability of every nature and kind growing out of or in anyway pertaining to the furnishing or inspection of such documents, records, and other information or the investigation made by said Georgia Board to Determine Fitness of Bar Applicants. The undersigned further waives absolutely any privilege he/she may have relevant to
his/her good moral character and fitness to perform the responsibilities of an attorney.
For the purpose of this release, the undersigned gives permission to use a photocopy of his/her electronic signature on this form as an original signature.
By typing my name in the box below, I certify that I have read the rules governing admission for a lawyer educated at a law school located outside the United States and its territories and that I meet all the eligibility requirements of Part B, Section 4 (c) of the
Rules Governing Admission to the Practice of Law in Georgia. I also understand that if I do not satisfy the eligibility requirements, I am only entitled to a refund of two-thirds of the filing fee (excluding any late fee) upon providing a written withdrawal request within 15 business days of the submission of my application to the Office of Bar Admissions.
By typing your name, you are signing this document electronically and demonstrating your intent to use this electronic signature as your authorization for the release of any documentation or information pertaining to you.