Application
 
 
 
 

First Name

 

Last Name

 

Email Address

 

Home Address

 

City 

State

Zip Code

 

Home Phone

 

Home Fax

Birth date (MM/DD/YY)

 

Place of Birth

 

Cuban Ancestry

Yes

No

 Sex

Male

Female

University

Expected Graduation

 

City

State

 

Zip Code

 

Freshman
 

Sophomore

Junior

Senior
   

Graduate
   

Organization / Community Service

 
Student Membership Fee $ 25  
Optional Scholarship Donation $ 10  
Total $35  
     

Please enclose (1) a check payable to the Cuban American CPA Association and (2) a copy of your student identification and send to: Cuban American CPA Association, P.O. Box 442061, Miami, FL 33144.

Are you currently looking for an internship or part-time employment in the accounting field?

Yes

No

 

 

 
 
 
 

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