Individual Application – Utah Bar Association

Name*

Bar Number*

Address*

Email*

Phone

Program Sponsor*

Program Title*

Program Start Date*

Program End Date*

Credit Type*

Live Type*

Self-Study Type*

Number of General MCLE*

Enter number of General MCLE credits being requested.

Number of Ethics MCLE*

Enter the number of Ethics MCLE credits being requested.

Number of Professionalism & Civility MCLE

Enter the number of Professionalism & Civility MCLE credits being requested.

File*

Max. file size: 128 MB.

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Individual Application Form