Oregon Society of Certified Public Accountants

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Membership Application Request

Applicant And Employment Information

* Required fields are indicated with red asterisk.

I am applying for membership as: *  
See dues schedule for classification descriptions.
A $50 application fee applies

Have you previously been a member of the OSCPA? *   Yes  No

How did you hear about the OSCPA? 


PERSONAL INFORMATION

Male
Female *
First Name: *
Middle Name: *
Last Name: *
Suffix:
Nick Name:
Prior Name:
Birthdate for statistical purposes only:
 /   / 
Ethnic/Race Identification (optional):
Street Address: *
PO Box (if applicable):
City: *
State/Province: *
Zip/Postal Code: *
PO Box Zip (if applicable):
Home Phone:
Mobile Phone:
Email: *
Mailing Preference:
Home  Office  
Email in member directory:
Don't Display  Display  

BUSINESS INFORMATION (if applicable)

Business Name:
Street Address:
 
City:
State/Province:
Zip/Postal Code:
Main Phone Number:
Direct Office Phone Number:
Fax Number:
Job Title:
General Position Type (please choose one):

Business Type

General Business Type (please choose one):
Specific Business Type (please choose one):



OSCPA Communication Preferences

The OSCPA frequently communicates with its members using electronic messaging which may include commercial* content. Please select your communication preferences below.

Mail
Fax
Email
Exclude from CPE/Self Study mailing = Commercial*
Exclude from non-CPE mailing = Non-Commercial**
* Commercial content includes notification of fee related CPE Programs and other Society events, products and services.
** Non-Commercial content includes OSCPA magazine, notices of professional issues and news, volunteer communications, etc.

The OSCPA membership contact information, in printed or electronic form, shall not be made available to any business or individual. The Board of Directors may take exceptions for charitable organizations, civic groups or accredited academic institutions, if appropriate. However, the OSCPA must remain in compliance with all state and federal rules and regulations that may prohibit the release of member information.




Professional Information

Undergraduate/Post Baccalaureate College/University:
Graduation Date (Month/Year):
 / 
Graduate College University:
Graduation Date (Month/Year):
 / 


I have passed the Uniform CPA Examination: *
Yes  No
State:
Date Issued: /   / 


I am a Certified Public Accountant: *
Yes  No
Oregon Certificate Number:
Date Issued: /   / 
Other State Certificate Number:
State:
Date Issued: /   / 


Are you a member of the American Institute of CPAs (AICPA)? *
Yes  No
Member Number:


Credentials (list all separated by commas):  

Do you belong to any other professional organizations?
Amer. Assoc. of Attorney=CPAs
American Accounting Assoc
American Bar Association
American College of Forensic Examiners
American College of Trusts & Estate Counsel
American Society of Women Accountants
American Womens Society of CPAs
Beta Alpha Psi
Cert. Financial Planner (CFP)
Certified Fraud Examiner Association
Certified Mgmt Accountants
Chamber of Commerce
Construction Fin Mgmt Assoc
CPA State Society (other)
Estate Planning Council
Family Firm Institute
Financial Executives Institute
Government Fin Officers Assoc
Healthcare Fin Mgmt Assoc
Inst Management Accts
Institute Internal Auditor
Institute of Bus Appraisers
International Assoc For Fin Planning
Medical Group Mgmt Assoc
Nat'l Assoc Local Gov Auditors
National Assoc of Black Accts
National Assoc of Public Accts
National Assoc of Realtors
National Assoc of Securities Dealers
OR Assoc School Bus Officials
Oregon Assoc of CFEs
Oregon Assoc of Indep Account
Oregon Assoc Tax Consultant
Oregon Municipal Fin Officers Assoc
Oregon State Bar
Oregon State Fiscal Assoc
State Bar (other)
Tax Executive Institute
Treasury Mgmt Assoc


What are your areas of professional interest? (20 maximum)
Accounting - Auditing Services
Accounting - Careers
Accounting - Compilation & Review
Accounting - Cost
Accounting - Fiduciary
Accounting - Forensic
Accounting - General
Accounting - International
Accounting - Payroll
Accounting Systems
Advertising
Agribusiness
Airlines
Arts / Entertainment
Assurance Services
Automotive
Bankruptcy / Liquidations
Biotech
Brokers / Dealers
Budgeting & Forecasting
Business - Law
Business - Planning
Business - Valuation / Merger / Acquisit
Buy / Sell Business
Casinos
Closely Held Businesses
College Planning
Communications
Construction
Consulting - Budgeting/Forecasting
Consulting - General
Consulting - Information Technology
Controllership
Dependent Care
Distribution
Divorce
E-Commerce
Educational Institutions
Educational System Audits
Elder Care
Electronic Commerce
Emerging Businesses & Growth Companies
Employee Benefits
Employment Industries
Engineering
Estate Planning
Estates & Trusts
Ethics
Financial Institutions
Financial Services
Firm Marketing
Food & Beverage Industry
Forest Products
Franchises
Fraud
Gaming
Government - Federal
Government - HUD / FHA
Government - Local
Government - State
Government - Yellow Book
Health Care - Hospital
Health Care - Long Term
Health Care - Medical / Dental
Home Owners Association
Hospitality
Human Resources
Import / Export
Independent Contractors
Initial Public Offerings
Insurance
Internal Control
International - General
International - Tax
Inventory
Investments
Leasing
Litigation Services
Manufacturing
Mentoring
Mergers & Acquisitions
Negotiations
Not-for-Profit - Accounting & Auditing
Not-for-Profit - General
Payroll Services
Performance Audits
Performance Measurement
Personal Development
Personal Financial Planning
Practice Continuation
Printing / Publishing
Project Management
Real Estate
Religious Institutions/Clergy
Restaurants
Retail
SEC Companies
Self Employment
Small Firm Management
Sports & Recreation
Strategic Planning
Succession Planning
Tax - All Areas
Tax - C Corporation
Tax - Canadian
Tax - Corporate
Tax - Estate & Gift, Fiduciary
Tax - General
Tax - Individual
Tax - IRS/ODR Representation
Tax - Multi-State
Tax - Not-for-Profit
Tax - Partnership, LLC, LLP
Tax - Payroll
Tax - Retirement
Tax - S Corporation
Tax - State & Local
Technology - Enterprise Resource Systems
Technology - Software Develop/Sales
Technology Application in Accounting
Technology Companies
Textile & Apparel
Transportation
Travel
Trucking
Utilities
Venture Capital
Web Trust/Internet Advisory Service
Wholesale



I hereby certify that the statements above are correct to the best of my knowledge and belief, and I further certify that I have never been convicted by any court or other body of any felony or any offense involving moral turpitude or an offense listed in Section 5 of the OSCPA Bylaws; that I have never been suspended or expelled from any other professional organization; and that I have not suppressed any information which might have a bearing upon this application. I agree, if admitted, to be governed by the Bylaws and Code of Professional Conduct of the Oregon Society of Certified Public Accountants.

If submitting this Application online, I expressly acknowledge that my checking this box and submitting this Application is intended by me to constitute an electronic signature of this Application as that term is defined in Oregon's Uniform Electronic Transactions Act.