Leadership Academy Application

Deadline to apply Friday, June 2, 2023.

Application responses are for MICPA and instructor background only and will not be shared.

Full Name

Organization

Phone

Certifications

Experience Level

Practice Area

What industry do you serve?

Why do you want to be a part of the Leadership Academy?

How do you see this impacting your career? The industry?

Identify an area /areas where you would like to continue to grow. IE Communication skills, Team leadership in-person and remote, etc.

Rate your support system at work on a scale of 1-10. (10 being the highest)

Rate your support system outside of work on a scale of 1-10. (10 being the highest)