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A full- or part-time undergraduate or full-time graduate student
(minimum 12 credits per semester) who is currently enrolled at
an accredited college or university, accredited community
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A resident of Connecticut or attending college in Connecticut.
If you don't meet this criteria, you may be eligible to be an
Associate Member. See www.ctcpas.org/join for more.
Name
__________________________________________________
Gender M
F Year of Birth __________________________
Email ___________________________________________________
Phone __________________________________________________
Education Level
Undergraduate Graduate
Current School ___________________________________________

Graduation Year (actual or anticipated) _______________________
Previous School(s) ________________________________________

Graduation Year (actual or anticipated) _______________________
School Address
Street __________________________________________________
City _________________ State ____________ Zip _____________
Permanent Address
Street __________________________________________________
City _________________ State ____________ Zip _____________
Send my mail to: School Address
Permanent Address
Please fax your completed application
to 860-258-4859 or mail your application
to CTCPA, 716 Brook Street, Suite 100,
Rocky Hill, CT 06067.
Join
today!