Student Application

By completing this application, I verify that either

  • I am a student at an accredited college or university in Delaware and I am majoring or concentrating in accounting.
  • I am enrolled in an accredited college or university outside of Delaware and I am majoring or concentrating in accounting but I have a permanent residence in Delaware.
  • I am enrolled in a graduate program in accounting at an accredited university in Delaware.
  • I am enrolled in a graduate program in accounting at an accredited university outside of Delaware but I have a permanent residence in Delaware.
  • I majored or concentrated in accounting as an undergraduate and I am enrolled in a graduate program at an accredited university in Delaware.
  • I majored or concentrated in accounting as an undergraduate and I am enrolled in a graduate program outside of Delaware but I have a permanent residence in Delaware.
 

Dues are payable in full when submitting the application and can be paid with MasterCard, Visa or American Express or by check payable to DSCPA. The DSCPA fiscal year is May 2010 - April 2011. Download the DSCPA Membership Dues Rate Card to view membership dues.

Personal Information

Salutation*
First Name*
Middle Initial
Last Name*
Suffix
Nickname (for Badge)
Birth Date*    mm/dd/yyyy
Home Street Address 1*
Home Street Address 2
Home City*
Home State*
Home Zip Code*
Home Phone Number*
Email*

School Information

Name of School*
Campus
School Street Address
School City
School State
School Zip Code
School Phone Number
Expected Year of Graduation*
Current Year

Payment Total

Dues $25.00

Payment Information

Payment Type*

Billing Information

This is a secure server, all of your credit card information is encrypted during transmission and is not retained on this web site.

Name on Card* First:
 Last:
Billing Zip*
Card Type* MasterCard Visa AMEX
Expiration Date*
Card Number*

    * Required