Accounting Department
Jennings A. Jones College of Business
Candidate Data Sheet
Candidate Name _____________________________ Student ID __________________________________
Home Address _______________________________________________________________________________
Campus Address _____________________________________________________________________________
Home Phone ________________________________ Campus Phone _______________________________
Home Email ________________________________ Campus Email _______________________________
Major _____________________________________ Minor(s) ____________________________________
Overall GPA _________ Major GPA ___________ Hours Completed _____________________________
Semester Internship Desired _________________________________________________________________
Please indicate the courses you will have completed prior to the internship semester:
_____Fin. Acct. Reporting I _____Fin. Acct. Reporting II _____Fin. Acct. Reporting III _____ Gov. Acct.
_____Internal Auditing _____External Auditing _____Individual Tax _____Corporate Tax
Do you plan to obtain the 150 hours of credit to qualify for the CPA Exam? ______ Yes _____ No
Do you plan to pursue a master's degree? _____ Yes _____ No
Please list any foreign language courses you have completed (including high school):
____________________________________________________________________________________________
Please list any computer software in which you have a basic competence:
____________________________________________________________________________________________
Provide two faculty references (in the accounting department) at Middle Tennessee State University:
Name ______________________________ Phone _______________ Email ____________________
Name ______________________________ Phone _______________ Email ____________________
A Tennessee Board of Regents Institution Page 1 of 2
MTSU is an equal opportunity, non-racially identifiable, educational institution that does not discriminate against individuals with disabilities.
Please list up to three campus and/or off-campus activities in which you have been involved during your
time at Middle Tennessee State University. Indicate offices held and/or other leadership responsibilities.
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
3. _________________________________________________________________________________________
List up to three honors and/or awards received while at Middle Tennessee State University.
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
3. _________________________________________________________________________________________
Please place a check by the type(s) of accounting work in which you are interested for your internship:
Auditing ____ Government Accounting _____ Cost/Managerial Accounting _____
Taxation/Tax Planning ____ Other (please specify) ______________________________________
Recent Work Experience:
1. Name/Address of Company ___________________________________________________________________
Name/Phone of Immediate Superior ____________________________________________________________
Duties/Responsibilities ______________________________________________________________________
2. Name/Address of Company ___________________________________________________________________
Name/Phone of Immediate Superior ____________________________________________________________
Duties/Responsibilities ______________________________________________________________________
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