MEMORANDUM

TO:	Law School Dean

[Law school name, address, and telephone number]

FROM:	Secretary

Hawai`i Board of Examiners

RE:	Dean's Certificate for Hawai`i Bar Applicant, [Applicant's full name]

The Hawai`i Board of Examiners (Board) is requesting the Dean of the law school named above or the Dean's appointed representative with access to student records complete this form and send it directly to the address below:

Hawai`i Board of Examiners

417 South King Street, Room 103

Honolulu, HI 96813

The applicant's notarized Authorization and Release (Form 3) should be attached.

The purpose of the Dean's Certificate is to gather information about an applicant's character and fitness while attending law school. The Hawai`i Board of Examiners must receive the completed certificate by

□	February 1	□	July 1

The law school may fax the Dean's Certificate to (808) 539-4978 or submit via email baradmissions@courts.hawaii.gov to preserve an applicant's deadline, but the original must be received by the Board within five (5) business days after the date of the facsimile transmission.

DEAN'S CERTIFICATE

[Applicant's full name] attended [name of law school] from [month/year] to [month/year]

Is there anything in the applicant's record that reflects unfavorably on the applicant's character and/or fitness to practice law?

Yes _ ___	No _ _ __

If you answered "Yes" to the above question, please provide your explanation on the attached sheet. Please include any incident of academic discipline.

COMMENTS:

This Dean's Certificate was completed by:

Name of Dean or Dean's representative:

Title:

Telephone Number:

Email address:

Date:

Signature of Dean or Dean's representative: _____________________________