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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