Registration Deadline: October 18, 2016

LIFELINES PROGRAM APPLICATION:

Name:*
Address:*
Phone number:
-
E-mail:*
Firm/Company:
Years in Practice
Type/Area of Practice:
How long have you been a member of AWSCPA?

If you are not a member yet, click here to join.

Please attach a current bio (file size not to exceed 2MB)*

Please select your session:

Session options:*
Word Verification:

By submitting this form, I agree, if selected to be a candidate in the Class of 2016 AWSCPA Lifelines Program, to attend each of the sessions in their entirety.  I further agree that after completion of the program to commit to maintaining membership and providing active service in AWSCPA for at least one (1) year, to maintain connections with my Personal Advisory Team, and to help the AWSCPA identify future applicants.