Application for Membership


ABOUT SSL CERTIFICATES
Required Field
Contact Information
Full Name (To appear on Certificate)
First:
Middle:
Last:
Suffix:
Nickname:
Maiden:
Home Information:
    Address:
    City:
    State:
    zip+4:
Phone:
E-mail:
Employer Information
Firm/Company Name:
Address:
City:
State:
Zip+4:
Mailing Address
    Address:
    City:
    State:
    Zip+4:
Telephone:
Fax:
Preferred Mailing: Home Work Other
If other:
    Address
    City
    State
    Zipcode+4
Current Employment
Public Accounting: Partner Shareholder/Owner Invdividual Practitioner Staff
Other: Industry Education Goverment Not working full-time Seeking full-time employment
Other
Title/Position:
Industry Classification:
Personal Information
Date of Birth:
Name of Spouse:
College or University (BA):
College or University:
Graduation Date:
Optional Data - Used for statistical Reporting only:
Sex: Male Female
Origin/Nationality: African-American Asian Caucasian Hispanic Other
Professional Information
Have you completed all four parts of the Uniform CPA Examination? Yes No
If Yes:
    State:
    Date: 
Do you hold a valid CPA certificate from the Kentucky State Board of Accountancy? Yes No
If Yes:
    Certificate#:
    Date Issued:
Are you certified/licensed in another state? Yes No
If Yes:
    State:
    Certificate#:
    Date Issued:
Have you previously been a member of the Kentucky Society? Yes No
If Yes:
    When?
Are you a member of the AICPA? Yes No
If Yes:
    Member#
Membership Type
Student Member 1) Currently enrolled in a four-year college or university as an accounting student
2) A college graduate of one year or less with most recent degree who has not successfully completed all four parts of the Uniform CPA Examination
To apply for student membership, click here
Graduate Associate A college graduate of more than one year who is actively pursuing their CPA certificate.
Candidate Associate An individual who has passed all four parts of the Uniform CPA Examination, but who has not received approval for certification and/or licensing by any State Board of Accountancy.
Inactive Associate A CPA who is not employed full-time (defined as more than twenty hours per week) and who is not seeking full-time employment. Eligibility for inactive status shall be re-established annually at the time of dues billing.
Regular Member (1) A certified public accountant under the laws of any state, District of Columbia, or territorial possession of the United States 

(2) Enjoys all rights and privileges of membership, including the right to vote and to hold any office within the Society organization.
Academic Associate A non-CPA teaching tax or accounting related subjects at the college or university level.
Professional Associate A non-CPA employed by a CPA firm or an entity controlled by a CPA firm.
Temporary Associate An individual employed full-time who has voluntarily surrendered their CPA certificate\license to the corresponding State Board of Accountancy with the certificate/license subject to reinstatement upon completion of the necessary education requirement..
Application Statement
Membership dues paid to the Kentucky Society of CPAs are not deductible as charitable contributions for federal income tax purposes.  I have read the provisions of Article II of the Bylaws and I agree that, if accepted, I will abide by the Bylaws and Code of Ethics of the Society.  I certify by pushing the submit button that the above statements are complete and correct to the best of my knowledge.


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