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PROGRAMS
Training Program Interested In:
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Please Select
Small Business Accounting and Bookkeeping Program Training
Administrative Assistant
Accounts Payable Specialist
Accounts Receivable Specialist
Payroll Specialist
Tax Preparer/Enrolled Agent
GENERAL INFORMATION
Student First Name
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First Name
Student Last Name
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Last Name
Address
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Street Address
Street Address Line 2
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State / Province
Postal / Zip Code
City
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Street Address
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City
State / Province
Postal / Zip Code
State
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Street Address
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City
State / Province
Postal / Zip Code
Zip Code
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Street Address
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City
State / Province
Postal / Zip Code
Country
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Street Address
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City
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Postal / Zip Code
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Canada
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Chad
Chile
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Christmas Island
Cocos (Keeling) Islands
Colombia
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Cook Islands
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Cote d'Ivoire
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Finland
France
French Polynesia
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EMERGENCY CONTACT
Name
*
First Name
Last Name
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Email
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example@example.com
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PERSONAL INFORMATION
Social Security Number
Drivers License Number
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Date of Birth
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U.S. Citizen
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English
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Race
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native Hawaiian/Pacific Islander
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Limited English Proficiency
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If yes, explain:
Accommodations for Disability
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EDUCATION
High School
*
Location
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Year Graduated
Highest Grade Completed
Prior College
Year Completed
Degree Received
Prior Certification/Training Programs
Year(s) Completed
Certificate(s) Received
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Year(s) Completed
Certificate(s) Received
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VETERANS
If you are a veteran or currently enlisted, please proceed with this section.
Which Military Branch? Please select all that apply.
Airforce
Army
Coast Guard
Marines
Navy
Space Force
Please upload a copy of your Drivers License/ID and DD214 form.
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EMPLOYMENT HISTORY
Employer #1
Job Title
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Employer #2
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STUDENT TUITION PAYMENT METHOD
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Pay in Advance
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VA
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Signature
I certify that the above information is t.rue and complete to the best of my knowledge. I understand that misrepresentation or omission of factS re.quested on this application is cause for rejection of this application or for subsequent dismissal from the training program. I authorize The Accounting Academy to verify any of the facts set forth in this application and release any and all persons, companies. or agencies responding to such verification from any liability for any damage due to releasing infonnation pertaining hereto. I understand and agree that my enrollment into un Accounting Academy's training programs is entered into voluntarily and I may cancel at any time in accordance with the school's Enrollment Agreement, School Catalog, and School Cancellation and Refund Policy.
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