Accounting Career Completion Application

Citizenship Status*

Are you currently living in the United States?

Yes

Visa Type

Legal First Name*

Legal Middle Name*

Check here if you do not have a legal middle name

Legal Last Name*

Preferred First Name

Do you have a previous last name?

Yes

Previous Last Name

Address

Permanent Address*

Country

Street

City

Region

Postal Code

Mailing Address same as permanent address?

Yes

Mailing Address*

Country

Street

City

Region

Postal Code

Contact Information

Email Address*

Mobile Phone*

May we text you?

Yes

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Demographics

Birth Date*

Legal Sex*

Country of Citizenship*

Birth Country*

Birth State*

Birth City*

Ethnicity (optional)

If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage. Information provided about your ethnic background will be used only for reporting purposes to the Department of Education and will not be used in any way in the admission process.

Ethnicity

Academic History

Have you ever been suspended or dismissed from any college or university for academic reasons?*

Yes

Reason for suspension or dismissal*

Do you have any pending (non-academic) disciplinary action or have you received disciplinary action resulting in a probation, suspension, removal, dismissal, or expulsion from any high school or any institution of higher learning? If yes, please explain and provide supporting documentation.*

Yes

Disciplinary Reason:*

Do you have any pending disciplinary action or are you under investigation for violating Title IX policy (including but not limited to sexual assault, sexual harassment, stalking, dating violence, or domestic violence)? If yes, please explain and provide supporting documentation.*

Yes

Disciplinary Reason:*

Have you ever pled guilty to, pled no contest to, or been convicted of a felony? If yes, please explain and provide supporting documentation.*

Yes

Disciplinary Reason:*

Admissions Information

Please select an entry term*

In which state do you plan on taking the CPA Exam?

If you do not have a US-issued Social Security Number, do NOT create a fake number as this will cause errors in your student profile. Leave the answer blank. Social Security numbers are not a requirement for International students. However, if you are an International student currently in the United States, transferring from another domestic institution, or employed within the United States you may already have a Social Security Number. You may enter it here:

Social Security Number

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