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                    "text": "I, _____, after being duly sworn, under oath state as follows:",
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                            "text": "I am a licensed attorney in the State of Illinois and in good standing with the Attorney Registration and Disciplinary Commission.",
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                            "text": "I have attended the education program created by and/or presented by an approved MCLE provider consisting of a minimum of ten hours of continuing legal education credit within the two (2) years prior to the date of my application.",
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                            "text": "I hereby certify that I am currently covered by professional liability insurance which would cover any and all claims against me arising out of my legal services as guardian ad litem and/or Child Representative in family or juvenile cases. I agree to maintain such coverage as long as I remain on the family or juvenile appointment list.",
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                            "text": "I understand that I am subject to receive appointment from this Court to serve on a pro bono basis, at least one (1) time each year.",
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                            "text": "I understand that at the conclusion of my appointment on each case, I must submit to the Court a Petition for Fees to seek reimbursement of my legal services as guardian ad litem and/or Child Representative, and that the Court must approve fee requests and determine which parties or individuals are responsible for payment of fees.",
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                            "text": "I hereby certify at [p1.4.6.1]all of the statements contained herein are within my own personal knowledge, and hereby apply for appointments in family or juvenile law cases as guardian ad litem and/or Child Representatives for the 17 th Judicial Circuit.",
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                                    "text": "^{th}",
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                    "text": "___",
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                    "text": "___",
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                    "text": "Phone:_____",
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                    "text": "Notary Public Signature",
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                    "text": "Date",
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                    "text": "APPROVED:",
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                    "text": "Attorney Number",
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                    "text": "Authorizing Judge Date",
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                    "text": "APPENDIX II",
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                    "text": "Rev: 07/2009",
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