Accounting Scholarship Application Form

1.  Name: 
     Dragon ID #:     

2.  Mailing Address: 
3.  Permanent Address:

4.  Local Phone:    E-mail: 

5.  Advisor: 

6.  Overall MSUM GPA: 

7.  Other Major(s): 

8.  Graduation Mo/Yr: for

9.  Rank your preferred post-graduation location from 1 (highest) to 5 (lowest).
Public Accounting ,  Industry ,  Non-Profit/Govt. ,  Grad/Prof Sch. ,  Other

10.  Do you plan to take the CPA Exam?  ,  CMA Exam? 

11.  In the space below please fill in a two-page essay describing your work experience, your on campus and off-campus activities, and your career objectives.  You may copy and paste this from a Word document or other text document.

By submitting this form I affirm that all the statements made in this application are true to the best of my knowledge, and I authorize the School of Business to obtain a copy of my current MSUM transcript.

Date:

WARNING:  This form will be replied to by e-mail.  Please check to make sure that your e-mail address is correct.