2015 Final Year Accounting Scholarship Application Applications must be received by January 30, 2015 Duplication is Encouraged The Michigan Accountancy Foundation’s goal is to encourage students to become CPAs in Michigan. In doing so, the Foundation created the fifth/graduate year scholarship. This is intended for deserving accounting students attending Michigan colleges and universities who are entering their final year of the Michigan educational requirement for licensure. Return this form and required information to: MAF Accounting Scholarship Program 5480 Corporate Drive, Suite 200, PO Box 5068, Troy, MI 48007-5068 If you have any questions, visit the MAF web site at http://www.mafonline.org or contact Dwight Ragland at 248.267.3680. Please complete the application (print clearly) and include the following attachments:  Completed application.  Official transcripts with university/college seal for all college level coursework, including all courses completed in the term prior to the application deadline of January 30, 2015 (course grades for fall term just prior to deadline may be submitted separately).  Two essays (500 words or less).  Two letters of recommendation, including one from a faculty member. Additional Information Please check the appropriate categories     Single parent Physically challenged Self-supporting and/or employment status, please explain below Financial aid recipient, please explain below  Minority Status o American Indian or Alaskan Native o Asian o Black or African American o Hispanic or Latino o Native Hawaiian or other Pacific Islander  Gender o Male o Female Please send completed application packet to MAF Accounting Scholarship Program 5480 Corporate Dr. Ste 200, PO Box 5068 Troy, MI 48007-5068 2015 Final Year Accounting Scholarship Application (continued) Name Home Address City/State/Zip Preferred/Alternate Address City/State/Zip Home Phone ( ) Personal E-mail Cell Phone ( ) College E-mail Current Employer Employment Hours Per Week Internship Firm/Location Work Phone ( ) Work E-mail Educational Information Undergraduate: College(s)/University(ies) Attended Degree Anticipated Anticipated Graduation Date Current or Most Recent Student Id Hours completed by end of 5/2015 Major(s) Minor(s), if Any Accounting GPA Overall GPA / / / / Graduate: Degree Anticipated Anticipated Graduation Date College/University Accounting GPA Overall GPA Please send completed application packet to MAF Accounting Scholarship Program 5480 Corporate Dr. Ste 200, PO Box 5068 Troy, MI 48007-5068 2015 Final Year Accounting Scholarship Application (continued) Essay Questions Please provide responses to the following questions on a separate document. 1.) a. Provide examples of leadership roles and extracurricular activities, including community involvement and volunteerism. b. Provide details on how you are financing your education c. Of what accomplishments are you most proud? 2.) a. What are your professional goals for the next five years? b. What additional information would you like to share with us? Please include any special feel the Scholarship Review Board should be aware of when considering your application. circumstances you Signature I currently plan to take the CPA examination and gain my experience requirements in Michigan. I certify that all information on this application is correct. Applicant’s Signature Date / / Student signature on this application authorizes release of student’s name and school for publication in MICPA communications, as well as press releases to the media. Please send completed application packet to MAF Accounting Scholarship Program 5480 Corporate Dr. Ste 200, PO Box 5068 Troy, MI 48007-5068