Individual Application Form

Each application submitted will require a non-refundable $10 application fee. Our staff will notify you by email once we have prepared an invoice for the application fee(s) on the Utah State Bar Practice Portal. If you have not heard from a member specialist after 14 business days, please contact 801-746-5230 or staff@mcleutah.org.

It is your responsibility to inform us once the application fee invoice has been paid. Once the payment is confirmed, we will move the application for final review and send the Notice of Decision. Your application may remain pending if we do not receive your payment confirmation.

Your application will be denied if you do not pay the required $10 application fee. You may resubmit your application for review if this occurs.

"*" indicates required fields

Name*
Email - Please enter the email address to be used for communication and confirmation replies.*
Lawyer or Licensed Paralegal Practitioner's Email - Please enter the address of if different.
Phone *
Program Sponsor *
Program Title *

Program Start Date * / Recorded Date
MM slash DD slash YYYY

Program End Date * / Viewed Date
MM slash DD slash YYYY

Requested Credit Type - Please select the type of CLE credit you are applying for.*

Enter the number of General MCLE credits being requested rounded down to the nearest half-hour. If requesting lecturing general credits, ONLY enter the number of hours spent lecturing.
Please enter a number greater than or equal to 0.
Enter the number of Ethics MCLE credits being requested rounded down to the nearest half-hour. If requesting lecturing Ethics credits, ONLY enter the number of hours spent lecturing.
Please enter a number greater than or equal to 0.
Enter the number of Professionalism & Civility MCLE credits being requested rounded down to the nearest half-hour. If requesting lecturing Professionalism & Civility credits, ONLY enter the number of hours spent lecturing.
Please enter a number greater than or equal to 0.
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    Supporting documentation for your request is required.

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