After completing this application, email Jeanette Contreras (Jeanette@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 Jeanette at 505-246-1699 or Jeanette@nmscpa.org.

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1. Are you applying for yourself or are you nominating another individual?

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2. Contact Information (Leadership Academy Candidate)

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3. Gender (Leadership Academy Candidate)

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4. Birthdate (Leadership Academy Candidate)

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5. Position/Title (Leadership Academy Candidate)

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6. CPA License (Leadership Academy Candidate)

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7. Name of College/University (Leadership Academy Candidate)

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8. Honors, awards, and other achievements (Leadership Academy Candidate)

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9. Are you a NMSCPA member? (Leadership Academy Candidate)

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10. Are you an AICPA member? (Leadership Academy Candidate)

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11. Practice Areas (check all that apply) (Leadership Academy Candidate)

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12. Please explain why you want to participate or why you want to nominate this individual for the 2023 NMSCPA Leadership Academy (500 words or less)

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13. Check the box below to agree to the following statement:
I will submit my resume and recommendation letter no later than April 7, 2023.

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14. I understand that my Firm/Employer/or Myself are responsible for the expenses related to the NMSCPA Leadership Academy ($1,500)

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