Last:
First:
Middle:

1. Permanent address:

Address:
City:
State:		Zip:
Phone:

2. Current school address:

Address:
City:
State:		Zip:
Phone:

3. Date of birth:
Social Security number:

4. E-mail address:

5. Marital status:
Number of dependent children:

EDUCATION

1. Current: undergraduate graduate

College/university:
Date entered:
Expected graduation date:
Expected degree:
Major:

2. Grade point average (as of application date):

3. Accounting courses completed:
course name: credits:
course name: credits:
course name: credits:
course name: credits:

4. Accounting courses currently taking:
course name: credits:
course name: credits:
course name: credits:
course name: credits:

Total accounting credits earned upon completion of current semester:

Employment

1. Are you presently employed? Yes No
Number of hours per wk. during school year

Projected gross earnings - summer

Employer:
Employer Address:
City:
State:		Zip:
Phone:
Projected gross earnings - school year

Employer:
Employer Address:
City:
State:		Zip:
Phone:

1. Scholarships awarded including those covering the period of the aid requested in this application:

Source	From	To	Annual Amount

2. Total dollar amount of scholarships received for the period which this application covers

3. Current annual room, board, tuition

Applicant's Statement

In submitting this application, I hereby certify that:

1. I am committed to obtaining 150 hours of higher education with a degree in accounting and to pursuing a career as a CPA. I have demonstrated this commitment by joining Tomorrow's CPA as a student member.

2. I am a U.S. citizen and Maryland resident and attend a Maryland college or university.

3. I will have completed no less than 60 total credit hours by the time of the award of which at least 6 hours of credit are accounting courses (including Accounting Principles I and II).

4. I am taking enough undergraduate level courses or graduate level courses during the semester in which this application is being submitted and that I will continue at this level with appropriate courses for the 150-hour requirement and eligibility for sitting for the CPA exam in Maryland.

5. I will use the proceeds of this scholarship for the payment of tuition, required fees, room, board, required materials or books or other expenses directly related to my education.

6. If I am awarded a scholarship, I will provide satisfactory evidence at the end of the current semester of my enrollment as a full-time student and my grades during the period for which this application is being submitted.

7. If I am awarded the scholarship, I will respond to requests for evidence of my continued eligibility for renewal of the scholarship.

Print name
Applicant's Signature
Date
Signature of Accounting Department Chairperson