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Membership Application

Member Classification

Have you previously been a member of the ASCPA?

NoYes

I am applying for membership as *

PARTNER, INDIVIDUAL PRACTICE (PP) – Partner, Shareholder or individual Practitioner of a public accounting firm
PP STAFF, INDUSTRY, GOVT OR EDUC – Employees in Public Practice, Industry, Government & Commerce, Education, or members who have voluntarily left the workforce for an indefinite period of time
FACULTY FREE – Educators in Arkansas colleges and universities who agree to participate in at least three Society activities per year (excludes CPE course attendance)
NON STATE RESIDENT – Works and resides outside of the State of Arkansas
UNEMPLOYED – Temporarily unemployed and actively seeking full- or part-time employment; allowed for a period of up to one year
ASSOCIATE MEMBER / NON CPA – Applicant 1) has passed the CPA Exam, but has not met the one-year experience requirement to obtain CPA certificate; or 2) has graduated from college and is actively sitting for the CPA Exam; or 3) is working under the direct supervision of another ASCPA member in an accounting capacity; or 4) is a non-CPA Educator of an Arkansas college or university
STUDENT MEMBER / NON CPA – Enrolled in a recognized college or university, majoring in accounting, and has attained at least junior class standing, with the goal of becoming a CPA

General Information

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If not living in the U.S.A., choose foreign address from state drop down, and enter province, country, postal code in the Foreign Address box.

Contact Information

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ASCPA Chapter Preference

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Terms and Conditions

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To the best of my knowledge and belief, the information contained herein is true and correct. By completing this application, I hereby represent to the ASCPA that I will be bound by the Society's Bylaws and Code of Professional Conduct.

The ASCPA is pleased to offer a Health Insurance Plan for Members. Please click on this link for more information and to get a quote.

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11300 Executive Center Drive, Little Rock, AR 72211

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Membership Application

Member Classification

I am applying for membership as *

General Information

First name or initial *

Middle name or initial

Last name *

Suffix (Sr., III, etc.)

Other credentials (MBA, Ph.D., etc.)

Nickname

Date of birth * (mm/dd/yyyy)

Gender *

Ethnic origin

Spouse

Home Information

Address *

P.O. Box (or street cont.)

City *

County

State

ZIP code

Foreign address **

Contact Information

Home phone (xxx-xxx-xxxx)

Mobile phone (xxx-xxx-xxxx)

Home Fax (xxx-xxx-xxxx)

Preferred e-mail *

Send all mail to my *

ASCPA Chapter Preference

Preferred chapter *

Terms and Conditions

Website Search

Other credentials
(MBA, Ph.D., etc.)

Date of birth *
(mm/dd/yyyy)

P.O. Box
(or street cont.)

Home phone
(xxx-xxx-xxxx)

Mobile phone
(xxx-xxx-xxxx)

Home Fax
(xxx-xxx-xxxx)