Board of Magistrate and Municipal Judge Certification

APPLICATION FOR CERTIFICATION/RECERTIFICATION EXAMINATION

I wish to take portion(s) of the certification/recertification examination on these date(s) and at these times:

DATE
TIME
Criminal	Civil
Criminal	Civil
I understand that Supreme Court Rules give the Director of S.C. Court Administration the responsibility for receiving and processing applications and that this application must be received at the Office of South Carolina Court Administration before the first day of the month in which the examination is offered [For example, the application for an examination offered on April 30 must be received on or before March 31.]

I request the following special accommodations for using the review materials and/or for taking the examination: .

I certify that I am a duly appointed, active Magistrate/Municipal Judge (circle one).

Date:
Signature
Name:
Home Address:
County of Residence:

RETURN TO:

Mrs. Karama B. Herrington
South Carolina Court Administration
1220 Senate Street, 2nd Floor
Columbia, SC 29201-3739

Telephone: (803) 734-1800
Fax: (803) 734-0269

PLEASE DIRECT ALL QUESTIONS TO
WALTER T. LEVERETTE
Telephone: (803) 734-1842

FOR SCCA USE ONLY
DATE RECEIVED

Board of Magistrate and Municipal Judge Certification

Leverette, Terry

2011-09-22

Baughman, Michelle

SCJD