Individual Application – Utah Bar Association

Individual Application Form

Once submitted if you have not heard from a member of the MCLE Staff after 14 business days; please contact 801.531.9077

Name*
Name *
Bar Number*
Bar Number *
Address*
Address *
Email - Please enter the email address to be used for communication and confirmation replies.*
*Enter Email *Confirm Email
Attorney's Email - Please enter the address of the attorney if different.
Attorney's Email - Please enter the address of the attorney if different.
Phone*
Phone *
Program Sponsor*
Program Sponsor *
Program Title*
Program Title *
Program Start Date*
Program Start Date *
MM slash DD slash YYYY
Program End Date*
Program End Date *
MM slash DD slash YYYY
Credit Type*
Live -Includes in-person and virtual real-time CLE courses. Self-Study - Includes Webcast (Recorded), On Demand, Lecturing, Writing, and Outreach.
- Verified CLE (Live -Includes in-person and virtual real-time CLE courses.)
- Elective (Self-Study - Includes Webcast (Recorded), On Demand, Lecturing, Writing, and Outreach.)
Self-Study Type
- Webcast (Recorded)
- On Demand
- Audio/Telephonic
- Lecturing
- Outreach
- Writing
Number of General MCLE*
Enter the number of General MCLE credits being requested. If requesting lecturing general credits only enter the number of hours spent lecturing.
Number of Ethics MCLE*
Enter the number of Ethics MCLE credits being requested. If requesting lecturing ethics credits only enter the number of hours spent lecturing.
Number of Professionalism & Civility MCLE*
Enter the number of Professionalism & Civility MCLE credits being requested. If requesting lecturing professionalism & civility credits only enter the number of hours spent lecturing.
Please upload supporting documentation (Program Description, Agenda, Certificate of Attendance, etc.)*
Drop files here or

Max. file size: 128 MB, Max. files: 5.
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Individual Application Form

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