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Northern Illinois University

College of Business - NIU

to CPA Review course, and thank you for registering. Your Blackboard ID Card will be emailed to you upon completion of this form. Thank you for your cooperation. The CPA Review Staff

Current Course Enrolled: REG 8691 - July 12, 2008 at DeKalb 
How many times have you taken the REG section of the CPA Exam? If this is the first time you will be taking the REG Exam, please indicate "0" (zero). *    
First Name: *
Middle Initial: *
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Day Time Phone: *
Email: *
Current Employer: *
(Company Name, Student, or None)
School Graduated: *
Degree: *    
Major: *    
Year Graduated (4-digit): *
2nd School Graduated:
2nd Degree:    
2nd Year Graduated (4-digit):
If you do not have a master's degree, where did you earn most of your extra hours to meet the 150-hour requirement?
Are you "grandfathered in" under the pre 150-hour requirement? * Yes, I took the Exam before 2001    No
If you have passed any of the CPA exam sections, please indicate the year and score below (if the year is unknown, please enter 4 zeros for the year):
Year AUDIT Passed:
 Year (4-digit)     
Score (3-digit)   
Year FAR Passed:
 Year (4-digit)     
Score (3-digit)   
Year REG Passed:
 Year (4-digit)     
Score (3-digit)   
Year BEC Passed:
 Year (4-digit)     
Score (3-digit)   
Have you ever taken a CPA review course with another provider? * Yes    No
If yes, please list all courses taken below:
1st course taken with another provider:
2nd course taken with another provider:
3rd course taken with another provider:
4th course taken with another provider:
5th course taken with another provider:
How many business law courses have you taken? *    
Have you taken a separate corporate taxation course? * Yes    No
Have you taken a course covering the topics dealing with estate and trust taxation issues? * Yes    No
Have you taken a separate course covering the topics of "partnership taxation?" * Yes    No
Have you taken a tax course that requires the use of tax research using a tax database such as RIA or CCH? * Yes    No
Did your audit course cover the AICPA professional code of conduct? * Yes    No
Have you ever completed a tax return online? * Yes    No
Why did you choose the NIU CPA Review? (check all that apply) *
Price
Quality
Reputation
Location
Favorite Professor
Other (please describe below)

Optional Ethnic Information: To monitor compliance with civil rights legislation, federal and state agencies require universities to describe their racial/ethnic populations. Your response to this item is optional. The information supplied is used for research purposes only and will not affect your admission to the program. Please check the category that best describes your racial/ethnic background.
American Indian or Alaskan Native
Asian or Pacific Islander
Hispanic or Latino/Latina
Black (not of Hispanic or Latino/a origin)
White (not of Hispanic or Latino/a origin)
Comments:
* Required fields.