2023 CPA Exam Prep Scholarship

2023 CPA Exam Prep Scholarship
Thank you for applying for the 2023 CPA Exam Prep Scholarship!

You application must be submitted by Friday, December 1st.

Once submitted you will receive an email from foundation@ficpa.org witin 24 hours confirming your entry.

Eligibility:
- US Citizen or permanent resident.
- Florida Resident or Florida Student.
- Notice to Schedule in Florida of the CPA exam.
To complete this application you will need:
- A Copy of your Notice to Schedule.
- A Professional Headshot.
First Name of Applicant *
Middle Initial of Applicant
Last Name of Applicant*
Are you a Florida Resident OR a Florida Student?*

Florida ResidentFlorida Student
Please specify in what Florida city you reside in. *
Please specify what Florida College/University you attend. *
Gender Identification*

FemaleMaleNo-Binary / Gender FluidPrefer Not to Answer
Preferred Pronouns*

She/Her/HersHe/Him/HisThey/Them/Theirs
Date of Birth *
Primary Email Address *
Secondary Email Address
Cell Phone Number *
Alternative Phone Number
Do you give permission for the FICPA Scholarship Foundation to text your cell phone?*

YesNo
Preferred Method of Contact*

EmailCell Phone
Are you a first-generation college student?*

YesNo
Are you an FICPA student member?

YesNo
If not a member, sign up for the FICPA Free Student Membership here:

https://www.cognitoforms.com/ficpa1/ficpastudentmemberapplication
Are you a U.S. Citizen or hold permanent residency status?*

YesNo
Ethnicity*

American Indian of Alaskan NativeBlack or African AmericanHispanic or LatinxNative Hawaiian or Pacific IslanderWhiteAsianPrefer Not to Answer
Please upload your Notice to Schedule. *

Cancelof
Please upload a copy of your professional headshot.

Cancelof
If selected to receive the CPA Exam Prep Scholarship, do you agree to allow your name and photo to be used in various marketing outlets including print, web, and social media?

YesNo
Verification / Terms of Agreement

By submitting this application, I certify that the infomation in this document and any attached documents are true and correct.
Signature

Clear
Date Completed
Should be Empty: