Master of Accountancy (MAccy) in Taxation Program
application
(Non-Matriculated Status)
Audit Analytics Online Certificate program
personal information
NAME _________________________________________________________________
Ms./Mr. Last First Middle
ADDRESS _______________________________________________________________
Street Apt. #
_______________________________________________________________
Town State Zip Country
HOME PHONE: (____) _______________________Cell: (____) _____________________
PROFESSIONAL CERTIFICATION:_____________________________________________________
EDUCATION
List in chronological order all colleges, universities attended since secondary school.
I. Name of Institution: ______________________________________________________
Location: _______________________________________________________________
Dates of Attendance: _____________________________________________________
Degree: ________________________________________________________________
II. Name of Institution: ______________________________________________________
Location: _______________________________________________________________
Dates of Attendance: ______________________________________________________
Degree: ________________________________________________________________
EMPLOYMENT
Employer: __________________________________________________________________
Position: ___________________________________________________________________
Business Address: ____________________________________________________________
Business Phone: ( ) _______________________Fax: ( ) __________________________
Email: ____________________________________
____________________________________ ____________________________________
Signature Date
Please send INITIAL APPLICATION and RESUME to:
BARBARA JENSEN
Rutgers Accounting Research Center/ CAR LAB
Program Administrator
Rutgers Business School – Newark and New Brunswick
One Washington Park, Newark, NJ 07102 USA
Voice (973) 353-5172
E-mail: bjensen@business.rutgers.edu
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