CLARION UNIVERSITY OF PA

Online CPA Exam Eligibility Program Form

 

Note: Currently enrolled Clarion University College of Business Administration students are not permitted to enroll in this program.

 
Please complete all sections of the form.  Use N/A for items that do not apply.  Items with an * are required entries.  Students participating in the Online CPA  Eligibility Program must have a bachelor's degree or be within 16 credits of graduation to participate.  Unofficial college transcripts are required.
 

This is a non-degree program and as a result, students are not eligible to receive financial aid.  If you are interested in pursuing an associate's or bachelor's degree program at Clarion University, please complete the regular admissions process at www.clarion.edu/apply.  Students seeking a degree may receive financial aid.

 

Last Name*:         First Name*    Middle Initial:    

 

Former Names 

 

Street Address*:       City*   

 

State*        Zip*:            Email Address: 

 

Birthdate*   (MM/DD/YYYY)     Sex*:         Ethnicity:  

 

Daytime Phone Number:        Home Phone Number*:                  

 

PA Resident*:                             If yes, name of county:           

 

Do you have a bachelors degree*:         Yes     No   

 

Citizenship*:                        
 

Note:  A student must have a bachelor's degree to participate in this program or be within 16 credits of graduation.  Unofficial college transcripts are required and are to be submitted to Undergraduate Admissions, 840 Wood Street, Clarion PA  16214.


 

Name of college awarding degree*:         

 

College GPA:       College Attendance Dates*:        (MM/YYYY - MM/YYYY)

 

Date degree awarded or will be awarded *:           (MM/YYYY)

Attended any other colleges?

Name of college awarding degree*:        

 

College GPA:      College Attendance Dates*:       (MM/YYYY - MM/YYYY)

 

Date degree awarded*:         (MM/YYYY)

 

NOTE:  Unofficial college transcripts are required.
 

High School Attended:    Graduation Year: 

High School City and State: 

GED:                  If GED earned, date GED was received: 

Have you attended Clarion University previously*?                  

Term for which you are applying*:     Spring    Fall       Summer PreSession       Summer 1       Summer 2      Winter Intersession

Year for which you are applying*:                   


 Program you are applying for:  
Online CPA  Eligibility Program

How did you hear about the Online CPA  Eligibility Program?

This form must be completed each semester of enrollment.

This form can only be used for the online CPA  Eligibility  Program

By clicking the submit button, you are verifying that the information provided is accurate.