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To help us determine if you meet the qualifications to take courses for the Certificate in Advanced Taxation, please provide all of the information below. This form must be submitted at least two weeks prior to the start of the class.

Please complete the following:

First Name

Last Name

Email Address

Phone

Employer

Nature of your work

Summary of work experience:

Which Certificate in Advanced Taxation are you interested in pursuing (http://www.sjsu.edu/lucasgsb/programs/advanced-certificates/advanced-taxation/index.html) :

Advanced Taxation Certificate

High Technology Taxation

International Taxation