PART A: GENERAL INFORMATION

Transcription

1 The Law Society of du Haw-Canada APPLICATION ID NUMBER: OR EXT' 3315 IMPORTANT: PLEASENSURE THAT YOU ENTER YOUR APPLICATION PART A: GENERAL INFORMATION FULL LEGAL NAME: Middle Name(s): Date of Birth (ddlmml~yy): tape ane of your &&a recent (within 32 months) COLOM paaspart photos here, Gender: MALE [7 FEMALE (check one) Correspondence Language: ENGLISH [7 FRENC ARE YOU KNOWN PROFESSIONALLY BY ANY OTHER NAME? [7 No Yes (check one) PROVIDE ALL NAMES UNDER WHICH YOU HAVE PROVIDE SERVICES AS A PARALEGAL AND THE DURING WHICH THE NAME WAS USED: Print last name first, first name and then middle name 1. From: To 2. From: To 3. From: To 4. From: To 5. From: To MAth a paper clip Bwsseky atkh an envebpe w& &the second d 2 recent {w ithiin the last 12 mntha) COLWR pas sport phd~s hare, &suw your full n m is printed clearly, h ink rn me back 09: th'i photo. which an applicant currently provides services as a parale receipt of an applicant's completed application. its public website upon April 16, 2007 V7.1 Page 1 of 16

2 The Law Saciey of du Haur-Canada 130 QUEEN STREET WEST. TORONTO. ON M5H 2N6 APPLICAT'ON ID NUMBER: OR EXT' 3315 Mail Preferred at: OHOME OBUSINESS (check one) Address line 3: Address line 4: City: Province: Country: Postal Code: Home Telephone Number: Home Fax Number: Home Address: BusinesslEmployer's Name: Business Address: Address line 1: Address line 2: Address line 3: Address line 4: City: Province: Country: Postal Code: Business Telephone Number: Business Fax Number: Business Address: You must inform The Law Society of, Paralegal Services in writing if your contact information changes. Please ensure that you reference your Application ID Number in your written notification. April 16,2007 V7.1 Page 2 of 16

3 LLI"IGHTIIC"*IL Barreau The law Society of du Haur-Canada 130 QUEEN STREET WEST. TORONTO. ON M5H 2N6 APPL'CATlON ID NUMBER: PHONE: OR EXT PAFULEGAL REGISTRATION AND APPLICATION FORM - Minimum Three Years Experience PLEASE SELECT ONE OF THE FOLLOWING PAYMENT OPTIONS: I7 Certified Cheque Money Order Bank Draft sa Mastercard (7 American Express Debit Card (in person only) Cash (in person) Credit Card Number: Month I Year Name of Credit Card Holder: Signature of Credit Card Holder: Payment must be submitted in full with your application or April 16,2007 V7.1 Page 3 of 16

4 The Law Society of du Haur-Canada 130 QUEEN STREET WEST. TORONTO, ON MSH 2N6 APPLICATlON ID NUMBER: PHONE: OR EXT Full Name: Address: Address line 1: Address line 2: Address line 3: Address line 4: City: Province: Country: Postal Code: Telephone Number: The Law Society of 's Professional Development, Co Aboriginal Issues CommitteeIComite sur l'equite et les affaires autochtones (Equity Committee) are committed to ensurhg that legal services are provided by and for Francophones, Aboriginal peoples and equality-seeking communities. The Ontario Human Rights Code prohibits discrimination on the grounds of race, lace of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, age, marital status, family sability. The Code also supports development and implementation of positive actions to remedy the effects of discr' d disadvantage. Further, The Law Society of 's Accommodation Policy reflects the spirit and intent To support these objectives, the Professional Development, Competence and Admissions Committee quity Committee are interested in gathering statistics on the composition of the applicants in the licensing proces Please check any of the following communities of which you consider yourself to be a member: OAboriginal OFrancophone OGay / Lesbian / Bisexual OPersons with Disabilities ORacialized Community On occasion, The Law Society of may provide applica s business addresses and addresses to professional legal organizations and institutions without charge, to ntenance of mailing lists and enhance communications with the profession, including information about p s, products and services. R&m4va You have the option to instruct The Law Society of nobto provide your name, business address and/or address to any professional association, organization or institution. I do not wish The Law Society of to release my name, business address and/or address to any professional association, organization or institution. April 16, 2007 V7.1 Page 4 of 16

5 & 1 *a LIT.IC,II,"EVA,, Barreau The Law Society of du Haut-Canada APPLICATlON ID NUMBER: PHONE: OR EXT IMPORTANT: PLEASENSURE THAT YOU ENTER YOUR APPLICATION Applicants must register with The Law Society of in their full legal name. Documents that provide proof of full legal name must accompany this application. Do not provide original documents. They will not be returned. A Notary Public or Commissioner of Oaths must certify copies of the documents as true copies. You must submit one of the following documents with the a~~lication:.. a) Birth Certificate b) Canadian Citizenship Card - Wallet-sized Canadian Cit card only. Both sides of the ID card are required as your name of common usage on the photo ' cceptable. Those who obtained Canadian Citizenship prior to February 15, 1977 must submit a ce y of the document issued at the time by Citizenship and lmmigration Canada. For further information, please refer to the Instruction Guide. c) Canadian Immigration Record - Permanent Resident Ca the Government of Canada. d) Canadian Certificate of Birth Abroad e) Statement of Birth or Statement of Live Birth If you have changed your name, you must also submit one of the following documents: 9 Official Canadian Name Change - Certificate Applica submit one of a), b), c), d) or e). g) Canadian Marriage Certificate - Must only be submitt plicants who adopted spousal surname. Applicants must also submit one of a), b), c), d) or e). Passports, Baptismal Certificates, Registrations of Birth, Dri Rpm e Health Cards and Certificate of Indian Status cards will NOT be accepted as proof of full legal name. April 16, 2007 V7.1 Page 5 of 16

6 The Law Sociey of du Haur-Cmada APPLICATlON ID NUMBER: OR EXT' 3315 IMPORTANT: PLEASENSURE THAT YOU ENTER YOUR APPLICATION PART B: APPLICATION TO WRITE LICENSING EXAMINATION To be eligible to write the licensing examination, you must demonstrate that you have provided legal services within the permitted scope of practice as a paralegal on a full-time basis for a minimum of three years out of the last five years. Provide your educational history from the time of achievement of an reverse chronological order (starting with the most recent). Pro university, graduate) educational institutions you have attended. courses, certificateldi plomaldegree in econdary and post-secondary (college, I pages if required. From: I I I I April 16,2007 V7.1 Page 6 of 16

7 The Law Society of du Haw-Canada APPLICATION ID NUMBER: OR EXT' 3315 Provide details of all professional organizations of which you currently are, or have been, a member in reverse chronological order (starting with the most recent). If YES, include with your application a Certificate of Standing issued within ays for each jurisdiction. From the list below, select the status that best represents your current nt status. Self-Employed as a Paralegal Practitioner C] Partner Paralegal Firm C] Employee Paralegal Firm C] Employee Law Firm Employed Government or Tribunal C] Employed Education C] Employed On Leave C] Currently Not Working Employed Other April 16,2007 V7.1 Page 7 of 16

8 The law Sociery of du Haur-Canada 130 QUEEN STREET WEST, TORONTO. ON M5H 2N6 APPLICAT'ON ID NUMBER: PHONE: OR EXT IMPORTANT: PLEASENSURE THAT YOU ENTER YOUR APPLICATION Work history includes self-employment, partnerships and employment by others. Provide your work history for the last seven years in reverse chronological order (starting with the most recent). Under Description of Duties please include information regarding your experience representing a client before a tribunal, agency, small claims court, provincial offences court or summary conviction court where the appearances involved a hearing of the merits of a proceeding. Indicate whether you had Errors and Omissions Insurance during each work period. Attach additional pages if required. Dates Business Name and Address Description of Duties (ddlmmlyyyy) I From: I To : Insured: Insured: OYes ONo

9 APPLICATlON ID NUMBER: OR EXT' 3315 IMPORTANT: PLEASE ENSURE THAT YOU ENTER YOUR APPLICATION LET.,GHT,ncvA8L Barreau The law Society of du Haut-Canada Provide details of any interruptions in your work history during the last seven years. Provide details of the business structures through which you offer or have offered your services as a paralegal. List them in reverse chronological order (starting with the most recent). D Incorporation April 16, 2007 V7.1 Page 9 of 16

10 The law Saciecy of du Haur-Canada APPLICATlON ID NUMBER: PHONE: OR EXT Using the Statement of Reference Form supplied, you must provide a minimum of two references as evidence of your work experience: 1. One reference from a judge, justice of the peace, deputy judge or lawyer licensed to practise law in Ontario and in good standing with The Law Society of, or a member or a senior employee of a tribunal, agency, - - small claims court, provincial offences court or summary conviction court before which you have appeared, who must attest to your experience in ad rk including: a. Nature of your work experience, b. How recent your work experience is, and c. Duration that you provided legal services. 2. A second reference from the list above, or from a client or former client, who must attest to your experience and the context within which you provided the legal servic The referee must have direct knowledge of your work as a paralegal. The Statement of Reference is a confidential document and will be made a. to The Law Society of The following persons are NOT eligible to be a referee: A relative of the applicant A bencher of The Law Society of An employee of The Law Society of A member of the Paralegal Standing Committee of The Law Society of You may photocopy the Statement of Reference Form if you require addition The referee must submit the Statement of Reference Form directly to T the following address: ociety of at Paralegal Services The Law Society of 130 Queen Street West Toronto, ON M5H 2N6 April 16, 2007 V7.1 Page 10 of 16

11 The law Saciecy of du Haur-Canada APPLICATlON ID NUMBER: OR EXT Applicants for a licence who intend to provide legal services are required to carry Errors and Omissions lnsurance with a minimum policy or coverage limit of one million dollars ($1,000,000) per claim and two million dollars ($2,000,000) in the aggregate per annum if they intend to provide legal services during the application process. Name of Insurer: Contact Name: Telephone Number: Fax Number: Policy Number: Expiry Date (ddlmmlyyyy): Submit a Certificate of Insurance pertaining to your Errors and Omissions lnsura I authorize my insurer to provide any information requested by The Law Society of Up coverage. age with your application. elated to my policy or Signature: - OR I do not need Errors and Omissions Insurance for the following reasons: Name of Employer: Contact Name: Telephone Number: Fax Number: Signature: April 16, 2007 V7.1 Page 11 of 16

12 The law Society of du Haur-Canada APPLICAT1ON ID NUMBER: '*ONE: OR EXT IMPORTANT: PLEASENSURE THAT YOU ENTER YOUR APPLICATION The Law Society of makes every effort to accommodate applicants with special needs, be they physical impairments, learning disabilities or other. Applicants with special needs are required to complete a Request for Special Needs Accommodation form and to submit this form with this Application. A copy of this form and The Law Society of Upper Canada's policy regarding accommodation for applicants is available online at Supporting documentation for accommodation must accompany the Request for Special Needs Accommodation form. The licensing examination will take place in TORONTO. If you are permitted to write th indicate: examination, please I. which session you prefer: A.M. P.M. 2. the language in which you prefer to write the examination: English firench PART C: APPLICATION TO BE LIC Applicants for a licence to provide legal services must be of good character. Applican to assist The Law Society of to determine whether they are of good ch An affirmative answer to any of the following questions will not necessarily result in th Society of. Before an application is refused for lack of good character, appear in person before a Hearing Panel. r the following questions licence by The Law will have the opportunity to CRIMINAL BACKGROUND CHECK: You must submit with this application, the results of a criminal record search conducted by a municipal, regional, provincial, or federal police force issued within the past 90 days. Refer to the Instruction Guide for more details. The following questions pertain to any jurisdiction in or outside of Canada. If yo is yes, provide details. Attach additional pages if required. to any of these questions I b. Has your licence to operate a motor vehicle ever been suspended? If yes, provid Answer: NO YES If yes, please attach details. f yes, provide details. April 16, 2007 V7.1 Page 12 of 16

13 APPLICATiON ID NUMBER: OR EXT' 3315 I 3. Are you currently the subject of criminal proceedings? If yes, provide details. Answer: NO [7 YES If yes, please attach details Has judgment ever been entered against you or any business through which you are or were providing legal services I r dishonesty? If yes, provide details. 13. Are you currently facing an allegation of misconduct made by a post-secondary edu$&t~p~a~~,istitution, or have you ever been suspended, expelled or penalized by a post-secondary institution for miscond&j"i&xgs, allegation, suspension, expulsion and penalty imposed on you. Answer: [7 NO [7 YES If yes, please attach details. provide details of the April 16, 2007 V7.1 Page 13 of 16

14 The Law Society of du Haur-Canada 130 QUEEN STREET WEST. TORONTO. ON M5H 2N6 APPLICATlON ID NUMBER: PHONE: OR EXT You must inform The Law Society of, Paralegal Services in writinn if your answer to any of the questions above changes at any time during the licensing process, providing the correct and current answer to the questions above. You must swear or affirm the changes before a Commission and in the Province of Ontario. PART D: DECLARATION & UNDER I have read and understand the contents and requirements of all sections in this applicat I declare under oath /solemnly affirm that the information in this application is current, co d correct. I undertake to notify The Law Society of in writing immediately should anmhis information change prior to my being licensed by The Law Society of. I undertake to file all required supporting documents and pay all applicable fees by the prescribed due dates. If I intend to provide legal services during the application process, I specifically agree, if Omissions Insurance, obey the Rules of Professional Conduct for Paralegals and all 0th and requirements of The Law Society of. carry Errors and ws, regulations, policies I acknowledge that if I continue to provide legal services in Ontario and if The Law Societ r Canada does not receive my completed application by 500 p.m. on October 31, 2007, or if at any time during the processing of my application I, Fail to carry the requisite Errors and Omissions Insurance Fail to maintain good character Disobey the Rules of Professional Conduct for Paralegals Disobey any other rule, by-law, regulation, policy or requirement of The Law So $ 4 The Law Society of may commence an investigation and may commence!&!%&cution respect to the provision of legal services without a licence. against me with I acknowledge that if I provide any false information to The Law Society of with respect to any question or inquiry in my Paralegal Registration and Application Form or if I declare under oath or solemnly affirm the contents of my Paralegal Registration and Application Form falsely The Law Society of may commence an investigation and may commence a prosecution against me with respect to the provision of legal services without a licence. April 16, 2007 V7.1 Page 14 of 16

15 The Law Sociery of du Haut-Canada 130 QUEEN STREET WEST, TORONTO. ON M5H 2N6 APPLICATlON ID NUMBER: PHONE: OR EXT FAX I hereby authorize The Law Society of to investigate anything mentioned in my responses under the Good Character section of this application in order to determine whether I am of good character. I hereby authorize The Law Society of to make inquiries and request more information related to my application. DECLARATION I declare under oath / solemnly affirm that the facts contained in this application are SWORN / SOLEMNLY AFFIRMED BEFORE ME AT: The Cityrrown of In the Province of this day of (month) Commissioner of Oaths in and for the Province of SIGNATURE Applicants must ensure that The Law Society of (Toron an original signed copy of this Paralegal Registration and Application Form by no later than 5:00, October 31,2007. Send the completed Paralegal Registration and Application Form to the follow Paralegal Services The Law Society of 130 Queen Street West Toronto, ON M5H 2N6 April 16,2007 V7.1 Page 15 of 16

16 The law Sociery of du Haut-Canada THE LAW SOCIEW OF UPPER CANADA 130 QUEEN STREET WEST. TORONTO. ON M5H 2N6 APPL'CAT'ON ID NUMBER: PHONE: OR EXT 3315 You must ensure that the following material accompanies your application: 1. Two colour passport photographs of yourself. 2. Proof of your full legal name. (DO NOT SEND ORIGINAL DOCUMENTS) 3. Any requisite Certificate(s) of Standing from other professional organizations issued within the past 90 days (if applicable). 4. The results of a criminal record search conducted by a municipal, regional, provi federal police force issued within the past 90 days. 5. Certificate of Insurance 6. Payment must be submitted in full with your application. The following will not accompany your application, but must be received by The Law Society of in order to complete your application: 1. A minimum of two Statements of Reference (using The Law Society of Upper tement of Reference Form) submitted by the referee directly to The Law Society of. A fully completed Paralegal Registration and Application Form including a minimum msmments of Reference, and full payment must be received by The Law Society of by 5:00 p.m. on Wednesday, October 31,2007, otherwise your application will be considered incomplete. For more information contact: Paralegal Services The Law Society of 130 Queen Street West Toronto, ON M5H 2N ext Please send your Paralegal Registration and A address provided below and ensure that the co ion Form to the ostage is affixed. I Paralegal Services The Law Society of Upper C 130 Queen Street West Toronto, ON M5H 2N6 I I April 16,2007 V7.1 Page 16 of 16