* = Required

If you seek credit for a non-traditional CLE course or activity, identify one of the following categories: *

Law school course SCR 795(d)(2)
Bar/professional association meeting SCR 795(d)(3)
Part-time teaching of law courses SCR 795(d)(6)
Legal scholarship SCR 795(d)(7)

Attorney Name: *

Attorney Address: *

Attorney City: *

Attorney State: *
AL AK AZ AR CA CO CT DC De FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Attorney Zip: *

Attorney Phone Number (Ex: 312-555-5555): *

Attorney E-mail Address: *

Course-Activity-Article-Publication Name: *

Course-ActivityArticle-Publication Description: *

Professional Responsibility Credit Hours requested (60 minutes=1 credit hour. Must be minimum of .5 and in increments of .25): *
0.00 0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.25 2.50 2.75 3.00 3.25 3.50 3.75 4.00 4.25 4.50 4.75 5.00 5.25 5.50 5.75 6.00 6.25 6.50 6.75 7.00 7.25 7.50 7.75 8.00 8.25 8.50 8.75 9.00 9.25 9.50 9.75 10.00 10.25 10.50 10.75 11.00 11.25 11.50 11.75 12.00 12.25 12.50 12.75 13.00 13.25 13.50 13.75 14.00 14.25 14.50 14.75 15.00 15.25 15.50 15.75 16.00 16.25 16.50 16.75 17.00 17.25 17.50 17.75 18.00 18.25 18.50 18.75 19.00 19.25 19.50 19.75 20.00

List professional responsibility learning objectives: *

What percentage of time was devoted to the following areas of Professional Responsibility?

Professionalism (%):

Diversity Issues (%):

Mental Illness and Addiction Issues (%):

Civility (%):

Legal Ethics (%):

List primary resources for course/activity/article/publication (title, author)

Resource #1: *

Resource #2:

Resource #3:

List primary course facilitator(s) name, firm, degree(s)

Facilitator #1 Name:

Facilitator #1 Business or Firm Affiliation:

Facilitator #1 Educational Degree(s):


Facilitator #2 Name:

Facilitator #2 Business or Firm Affiliation:

Facilitator #2 Educational Degree(s):

Submissions will be auto-confirmed via e-mail.

By submitting this application, the applicant verifies to the Commission on Professionalism of the Illinois Supreme Court that the information stated on this application is true and accurate.

To confirm this submission, please enter the characters you see in the image:
	*
If you cannot read the image above, click for a new one  New image