2020 Leadership Academy Application After completing this application, email Kelcy Flanagan (kelcy@nmscpa.org) your resume and a letter of recommendation from your current employer. We will confirm your submission as soon as we receive all the required documents. For questions and more information, contact Kelcy at 505-246-1699 or kelcy@nmscpa.org. Question Title * 1. Contact Information Name (First MI Last) Firm Name Firm Address City State ZIP Email Address Mobile Phone Question Title * 2. Gender Male Female Question Title * 3. Birthdate Question Title * 4. Position/Title Question Title * 5. CPA License Date State Question Title * 6. Name of College/University Question Title * 7. Honors, awards, and other achievements Question Title * 8. Are you a NMSCPA member? Yes No Question Title * 9. Are you an AICPA member? Yes No Question Title * 10. Practice Areas (check all that apply) Academia Business & Industry Consulting Government Public Accounting Small Firm (less than 10 employees) Medium Firm (10 to 24 employees) Large Firm (25 or more employees) Question Title * 11. Please explain why you want to participate in the 2020 NMSCPA Leadership Academy (500 words or less) Question Title * 12. Check the box below to agree to the following statement:I will submit my resume and recommendation letter no later than February 14th I will submit the required materials before the deadline Done