Emerging Leaders Form

Emerging Leaders Awards

Nominee's First Name

Nominee's Last Name

Organization

Address

Apt., Suite, Etc.

State

Zip

County

Phone

Age

DOB

NYSSCPA Member Number

CPA License Number

Nominator's First Name

Nominator's Last Name

Organization

Address

Apt., Suite, Etc.

City

State

Zip

County

1. Describe the nominee's work

2. List what the nominee has accomplished in his or her workplace

3. Describe how the nominee's work has impacted the community

4. Describe how the nominee has gone above and beyond in giving back to the community and/or nonprofit organizations.

5. What future promise do you see the nominee holding?

6. How has the nominee been involved with the NYSSCPA over the last 3 years?

7. Explain why this individual deserves a prestigious Emerging Leaders Award.

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